Revenue Cycle Billing Specialist

Self-Pay Billing Specialist

Manage daily billing functions for assigned patient and insurance companies. Coordinate the interaction between patients and payors to facilitate timely reimbursement. Serve as a point of contact for billing problem solving. In depth knowledge of carrier Clinical Coverage Policies (CCP) and Billing Coverage Policies (BCP).

SPECIFIC RESPONSIBILITIES:

• Maintain Accounts Receivable KPI (A/R balances older than 120 days must be less than 19% of total A/R)
• Maintain Adjusted Collection Percentage KPI (Reimbursement/Collections equal to or above 97% of Expected)
• Review and resolve denied patient insurance claims
• Review and resolve collection accounts
• Patient Refunds
• Manage Online payment portals
• Assist in identifying current and/or potential billing issues specific to unpaid claims
• Post and balance all activity from carrier remits to include payments, contractual adjustments, and other adjustments
• Post and balance all payments from patients
• Make appropriate decisions and calls to carriers to maximize reimbursement on accounts to be worked
• Correct errors on electronic error reports
• Process and print/transmit patient insurance claims, bills and other reports.
• Respond to patient account inquiries in person, by phone, or by mail; resolve problems as necessary
• Respond to inquiries from office staff regarding patient charges, appropriate
• diagnosis coding, and insurance coverage related issues
• Respond to inquiries from employees, payers, and patients regarding CPT and ICD-10 codes
• Maintain high level of patient confidentiality
• Ensure compliance with HIPAA regulations

This role description is a general description of the essential job functions. It is not intended to describe all the duties the Self-Pay Billing Specialist may perform.

KEY COMPETENCIES:

• Communication Skills
• Decision Making
• HealthCare Knowledge
• Interpersonal Skills
• Organizational Values
• Problem Solving

SPECIFIED SKILLS

• COMPUTER

  • Proficient in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
  • Must have the ability to use/learn Allscripts products and various insurance company websites.

• FOREIGN LANGUAGE

  • Spanish speaking skills preferred.

PHYSICAL DEMANDS

• Sedentary - Very light energy level: Lift 10 lbs box overhead, Lift and Carry 15 lbs, Push/Pull 20 lbs cart
• Occasional (0 - 33% of Workday)

SUPERVISORY RESPONSIBILITIES:

• Not Applicable.

EDUCATION AND EXPERIENCE

• MINIMUM QUALIFICATIONS:

  • Associate Degree in Business, Health Administration, or a related field, three (3) years relevant experience in dental, or a comparable combination of education and/or experience.

REQUIRED LICENSES:

• Not Applicable.

SCHEDULE:

Regular attendance on-site is an essential function of this position. Typical business hours are Monday Friday, 8:00 am to 5:00 pm (or flexed to best meet the needs of the clients and/or the Division); 40 hours per workweek; weekend, holiday, or evening coverage is occasionally required. Work hours will need to be flexible in order to respond to special work assignments, or evening activities, as requested by the team leader.

POSITION COMPENSATION:

$23.65/hour, full time + full benefits available

At MAHEC, we strive to equip all team members with Total Rewards (pay + benefits) to honor their service, support their health, manage their financial security, build their career, and thrive.

MAHEC is a qualifying employer for the Public Service Loan Forgiveness (PSLF) Program. Employees who meet federal requirements may be eligible to have remaining student loan balances forgiven after 10 years of qualifying payments while working full-time at MAHEC.

If you are interested in this role, and you have related experience and qualifications, we encourage you to apply or reach out to View email address on click.appcast.io for support in your job search process. You could be the talent we are seeking for this or other opportunities

All MAHEC employees and learners will be required to receive the Flu vaccine or have an approved exemption.

MAHEC does not provide employment-based US visa sponsorship, now or in the future. All new employees must provide valid, original I-9 documents on their first day of work.

MAHEC Talent Management is located at 121 Hendersonville Road, Asheville, NC 28803. Equal Opportunity Employer.