Billing Specialist II

Shawnee Health – Billing Specialist IIShawnee Health is seeking a Billing Specialist II for our Shawnee Alliance Billing office. This position reports directly to the Revenue Cycle Director.Responsibilities:Promptly and professionally answers, screens, and processes medical service requests and telephone inquiries with strict adherence to confidentiality policies.Ability to complete SFA applications proficiently and pass testing for SFA Application processing as indicated on an annual basis.Refers patients to the appropriate staff, according to patient request per established protocols. i.e. triage, medical records, patient care coordinators, case management and ACA staff.Attends/completes all assigned training through learning management system and other resources as required.Meets Shawnee Health Service and department benchmarks and or quality indicators as monitored through audits and or recordings.Supports organizational changes, demonstrates flexibility in providing coverage as needed during times of high volume or staff shortages.Responsible for the timely posting of charges, payments and adjustments for medical services for all provider specialties and payer types, utilizing the patient encounter information as directed by physicians and medical records notes.Have a comprehensive understanding of coding rules and regulations by CMS, AMA, ADA and Medicaid.Provides timely follow up of accounts receivable financial classes. Works denials from insurance carriers. Discusses accounts with patients and/or responsible parties. Works self-pay balances after insurance in accordance with Shawnee Health Service credit and collection policy.Must have an excellent understanding of all Shawnee Health Service policies and procedures.Requirements:High School DiplomaKnowledge of Medicare, Medicaid and Commercial billing guidelines preferredStarting salary - $18.00 - 19.68/hour, based on experienceComprehensive Benefits Package:Health InsuranceDental InsuranceVision InsuranceEmployer and Voluntary Paid LifeEmployer Paid Long Term DisabilityVoluntary Short-Term DisabilityAccident InsuranceCritical Illness InsuranceFlexible Spending AccountDependent Care Account401k Retirement PlanPaid Time Off