Billing Specialist FT

GENERAL SUMMARY (THE VALUE YOU WILL ADD TO OUR TEAM):

Acute Rescue hires billing specialists with a head for figures and a heart for helping others. Everyone on our administrative team has a role to play in providing great customer service for a broad cross-section of clients, so you will get to use your excellent communication and interpersonal skills, as well as accuracy in this demanding role. After your probationary period, you may qualify for our robust Benefits package. Best of all, you’ll have the chance to leave every day knowing you’ve helped others as part of a caring staff.

ESSENTIAL FUNCTIONS:

• Processes medical billings, including private payment, private insurance, liability insurance, Workers' Compensation, Medicaid, Medicare, Veterans Administration, contracted services with hospitals, correctional facilities, and other medical facilities under the supervision of the Billing Manager.
• Maintains medical and billing records;
• Maintains information relating to special contract billing accounts;
• Ensures that all billing sheets and flow sheets from field personnel are received;
• Assures charges are correct for services delivered;
• Prepares, reviews, and sends statements and insurance billings;
• Work with collection agency for use in recovering delinquent accounts
• Answers questions from patients, patient representatives, attorneys, and insurance companies;
• Review patient records on a daily basis for accuracy, supply any missing information and ensure compliance with company policy and government regulations.
• Researches issues and billing complaints to bring resolution;
• Enters account activity and payment schedules into database;
• Posts and processes insurance denials;
• Prepares and submits appeals for denied claims;
• Prepares and mails statements and reports;
• Maintains confidentiality of patient healthcare information in compliance with the Health Insurance Portability and Accountability Act (HIPAA);
• Access patient records as needed for review by physicians, technicians and other medical staff members
• Follow professional standards and meet requirements of local, state and federal regulations

JOB SKILLS AND QUALIFICATIONS

Required:

• High school diploma or equivalent;
• Accuracy and attention to detail
• Communication and interpersonal skills
• An understanding of basic medical terminology
• A minimum of two years of relevant clerical or medical experience;
• Knowledge of English grammar, spelling and punctuation;
• Knowledge of office terminology, procedures, routine and equipment;
• Knowledge of business math;
• Skill in organizing records;
• Ability to understand and carry out verbal and written directions;
• Ability to perform work and deal with the general public, some of whom may be frustrated or under stress, in a tactful and courteous manner;
• Ability to maintain effective working relationships.

Preferred:

• EMS knowledge or experience
• Ambulance Billing experience
• Experience with previous electronic medical billing software
• Medical billing and coding experience

CORE COMPETENCIES:

• Safe . We are absolute in our belief that ART employees operate with safety in the forefront of their daily operations.
• Efficient . We are focused on outcomes that are smart and responsible by making the best use of your resources to maximize overall productivity and achieve sustainable profitability as a high performing organization.
• Quality . We are committed to ensuring excellent organizational performance which produces sustainable and reliable outcomes.
• Service . We are dedicated to the service of our customers, our communities and each other.

BEHAVIORAL COMPETENCIES:

• Drive & Energy – The ability to maintain a fast pace and continue to produce during exhausting circumstances.
• Functional & Technical Expertise – Allows the individual to add organizational value through unique expertise and serve as a resource to the organization within his/her area of expertise
• High Standards – Sets the stage for continuous improvements, the adoption of best practices and ultimately influences organizational standards.
• Initiative – Takes a proactive approach and takes action without being prompted.
• Integrity – Acts ethically and honestly and applies those standards of behavior to daily work activities.

DISCLAIMER:

To perform this job successfully, an individual must be able to perform the essential functions satisfactorily with or without reasonable accommodation. The above statements are intended to describe the general nature and level of work being assigned to this job. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of individuals in the job. This job description is not an employment agreement and/or an expressed or implied employment contract. Management has the exclusive right to alter this job description at any time without notice.