Medical Billing Specialist

Summary

The purpose of this position is to prepare and submit accurate statements of patient charges to appropriate payers and to collect and track patient charges. This position is supervised as designated on the agency organizational chart.

Employment Status: Part-Time

Typical Hours of Employment: Monday through Friday. 8am-12pm

Employment Location: Topeka, Kansas

Required Application Materials: Resume, Online Application

Essential Duties & Responsibilities

People

Seeks opportunities for professional growth and engages in self-learning activities.
Attends leadership education opportunities.
Service

Communicates patient information with appropriate staff.
Answers client/family questions regarding insurance and status of claims.
Acts as liaison between nurses and insurance case managers.
Sends collection letters on past due accounts monthly.
Works with social workers to coordinate insurance benefits and financial assistance for clients.
Works with contract administrator to assure understanding and appropriate payment of claims.
Quality

Works with clients and staff to ensure discrepancies, disputes and questions are resolved promptly as they relate to billing.
Monitors billing activity to assure completeness of claims for maximum reimbursement.
Monitors A/R aging monthly documenting status of claims.
Finance

Creates claims and invoices for all programs except PACE.
Follows up with insurance companies and individuals to collect unpaid claims.
Documents calls, contacts and correspondence with third party payers and individuals.
Recommends claims for write-off to Patient Accounts Manager.
Works with insurance companies for approval of payment for services.
Prepares daily cash journal entries into accounting system.
Monitors clinical voice mail for changes to client status as it relates to billing.
Growth

Utilizes evolving technology as assigned.
Engages in marketing and fundraising activities.
The Midland Way

Other Essential Duties & Responsibilities: Carries out the mission and values of Midland. Articulates Midland Philosophy. Demonstrates a willingness to assist in patient/client and family care as needed. Respects the autonomy and right of confidentiality of patients/clients and families. Demonstrates good customer service the Midland Way at all times. Participates in performance improvement activities. Demonstrates ability to work collaboratively with other staff. Comes to work in neat, clean attire and consistently presents an appropriately professional appearance. Comes to work as scheduled and consistently demonstrates dependability and punctuality. Understands the organization’s computer system(s) and the software(s) used within the department as applicable to this position. Serves as a Universal Employee and accepts assigned duties in a cooperative manner. Performs all duties as assigned in an effective manner. Understands and demonstrates compliance with Midland policies and procedures.

Qualifications

High school graduate or equivalent. Two years’ experience relating to insurance/reimbursement, including two years’ experience directly related to health care environment and Medicare/Medicaid experience required. Certified Professional Coder (CPC) and ICD-10 certification required. Accounting experience/course work preferred.

Computer Proficient. Proficient in Microsoft Excel. Must possess valid Kansas Driver’s License, in force automobile liability insurance and maintain a Motor Vehicle Record (MVR) that meets organization’s insurability standard as defined by Midland policy.

Physical Demands

Continuously (75 – 100% of time) performs a variety of tasks that involve standing, walking and sitting. May be required to push materials, equipment or furniture less than 10% of the time. The ability to use the telephone is also essential. The ability to operate office equipment such as a copier is of secondary importance.

Equipment Used

Personal computer, multi-line telephone, photocopier, FAX machine, postage machine, 10-key calculator

Work Environment

Individual must wear business attire all of the time and spends virtually all of the time inside

Apply online at: https://www.midlandcareconnection.org/get-involved/jobs/current-job-openings/. 

Listing expires on Friday June 4th, 2021