INSURANCE BILLING SPECIALIST

Pay Range for this position is $25.04-$37.56 DOE ESSENTIAL FUNCTIONS AND BASIC DUTIES Supervisory-Specific Performance Expectations, Duties, and Responsibilities: N/A Position-Specific Performance Expectations, Duties, and Responsibilities: Shows patients to the examination room and prepares them for the provider. Records patients' past medical history, vaccine status, vital statistics, and medication reconciliation. Maintains compliance within the department and clinic, as well as within state and federal regulations and policies. Working knowledge of phone: answers, greets, and directs by phone. Takes messages and documents in the patient's record. Cares for instruments, i.e., cleaning, packaging, and sterilizing (where sterilization equipment is available). Participates in mandatory in-services and attends staff meetings. Follows policies and procedures. Demonstrates knowledge of emergency preparedness and participates in drills. Respects the confidentiality of patient records and uses complete discretion when discussing patient information in accordance with HIPAA. Utilizes all department forms and documents in Electronic Medical Records (EMR) appropriately. Identifies victims and the process for reporting abuse. Collects, labels, and transports all specimens appropriately. Demonstrates proper techniques when setting up for procedures. Demonstrates knowledge of emergency and routine equipment and procedures. Collaborates with patient care planning. Actively participates in education specific to patient diagnosis and needs. Assists providers with special tests and procedures. Acts as a resource person to other staff members. Maintains a positive and supportive behavior towards team members, staff members, and other departments within the organization. Participates in process improvement teams or in interdepartmental efforts. Assesses every patient for safety, medication dosage appropriateness, and other needs. Acts as a liaison between patients, families, providers, and staff. Completes workload as assigned. Administers medication and performs treatment in accordance with standards of care. Translates medications into pediatric doses and uses proper equipment for the patient's size and age. Floats to other clinical departments as assigned. Performs other duties as assigned. Organization-Specific Performance Expectations, Duties, and Responsibilities: Demonstrates full commitment to the CHOICE values of MRH and consistently represents the organization in a positive, professional manner. Establishes and maintains effective verbal and written communication, fostering positive working relationships with patients, staff, and vendors. Adheres to the MRH attire and dress code in accordance with organizational policies and procedures. Exhibits initiative and self-motivation; maintains a consistent level of productivity and manages time and responsibilities effectively. Completes all required annual education, training, in-services, and licensure/certification updates; actively participates in departmental and organizational meetings or reviews meeting minutes as required. Maintains strict patient confidentiality at all times. Reports to work punctually and completes assigned duties within established timeframes. Actively contributes to departmental and organization-wide performance improvement and continuous quality initiatives. Ensures compliance with all regulatory requirements, maintaining adherence to departmental, hospital, state, and federal standards and policies. Follows all infection control, safety, and risk management procedures to maintain a safe environment for patients, the public, and staff. QUALIFICATIONS Must be at least 18 years of age (21 for positions requiring driving, with a valid driver's license). Must be legally authorized to work in the United States. Must successfully pass a background check. Must successfully pass a pre-employment drug screen and breath alcohol test (if applicable). Must complete an Employee Health meeting prior to starting employment. Qualifications Experience Required 2 years: Two (2) years prior experience in medical billing, accounts receivable, or related field. (Can substitute with a medical billing or coding certification (CPC, CPB, RHIT, CCS, etc.) Preferred Epic or similar EMR experience. Knowledge of UB-04 and CMS-1500 claims forms. Medical billing or coding certification (CPC, CPB, RHIT, CCS, etc.) Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr