Tag Archives: Medical Office Specialist

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

Receptionist

YOU HAD ME AT HELLO
PRN Receptionist at Meadowlark

Bring your award-winning smile and sparkling personality to Meadowlark and provide a positive customer experience as a part-time Receptionist! Meadowlark is a local not-for-profit organization focused on enhancing senior lifestyles. The unique atmosphere at Meadowlark provides a wonderful opportunity to develop meaningful relationships with residents, co-workers and community members.

As a Hospitality Team member, you will receive on-the-job training. At Meadowlark our employees are an important asset to achieving our mission of providing those we serve with high-quality customer service and person-centered care.
Call our Human Resources team at (785) 323-3893 to learn more about the opportunity to work with a passionate and people-focused organization. Apply online by visiting https://www.meadowlark.org/jobs.

Listing expires on Thursday May 27th, 2021

Administrative Assistant

Family Therapy Institute Midwest, an outpatient mental health practice, is seeking a motivated, dependable, and positive individual to join our administrative staff for a full-time position.

The ideal candidate would be responsible, timely, a team player, able to effectively communicate, and able to maintain and adhere to confidentiality and HIPAA requirements. The primary roles and responsibilities of the position include, but are not limited to:

Being able to appropriately interact with a wide array of clients and professionals in and outside of the practice.
Performing a variety of office-related tasks such as filing, scanning, faxing, and answering phones.
Maintaining clinician calendars, responding to client/clinician/professional requests, and collecting payments and insurance information.
Maintaining social media accounts

While no experience is required, as training would be provided, knowledge of the following could be beneficial: Microsoft Office programs, Apple products and applications, multi-line phone systems, and basic office equipment.

Work hours would typically be Monday through Friday 9AM-5PM.

Due to having a small staff and varying daily coverage, flexibility would be ideal.

Compensation is $14 to $15/hour based on experience. To be considered for the position, please provide a cover letter and current resume. Submissions received without a cover letter and updated resume will not be considered. Please email cover letter and current resume to frontdesk@ftimidwest.net.

Listing expires on Friday March 5th, 2021

MA or LPN

Role and Responsibilities:

Medical scribing for providers; Patient intake (HPI, ROS, PQRS, pictures); Review pathology log daily and notify patient of results within 24 hours; Assist with surgical procedures; Perform Blue U procedures under direction of providers; Meaningful use tracking; Input patient clipboard history into EMA; Fax records to referring physicians, PA’s and APRN’s; Clean, sterilize and package instruments after use; Daily phone triage – refills, medical questions, voice mails; Keep surgical patients and family informed and answer any pre or post op questions; Educate patients on skin cancer, preventative care and the importance of follow up visits; Shares workload with nursing team to promote efficiency and a positive patient experience; Keep work area clean, organized and free of any HIPAA related information; All other duties as assigned

Qualifications and Education Requirements:

Medical Assistant Certification; At least two years of experience in a clinical setting

Preferred Skills:

Experience with medical scribing for providers; LPN License; Experience in a dermatology setting; Experience assisting in surgical procedures

Compensation is based on education and experience. Benefits include healthcare, dental, vision, life and disability insurance, retirement plan, paid time off, company discounts in medical spa, etc. Please submit resume to info@ricksderm.com.

Listing expires on Monday March 1st, 2021

Customer Experience Representative

Provides a world-class customer service experience by trouble shooting and resolving complex customer inquiries from members, employers, and providers.

***These positions will start March 8, 2021 and will train and temporarily work remotely from home under our current workplace policy. Once employees return to our onsite work locations, these positions will be able to choose to work in either the Topeka, Lawrence or Salina office.

Essential Functions

Research, resolve and respond to inquiries and correspondence via telephone, written communication and/or in person. Inquiries will be from members, providers, group leaders and internal staff regarding a diverse range of topics including, but not limited to, contract benefits, changes in coverage, eligibility, claims, provider networks, payments and appeals.

Uses critical thinking skills to determine course of action needed to resolve inquiry or complaint.

Must be comfortable being monitored for level of efficiency, accuracy and customer satisfaction and must be able to meet performance standards to achieve both individual and department goals.

Must be able to communicate effectively with appropriate tone and content. Customer Service calls are recorded to ensure accuracy and to provide a tool for feedback for reps.

Must be able to balance workload to ensure timely and accurate response to both internal and external customers.

Initiate claims adjustments and update enrollment information through the on-line systems as determined necessary through inquiries.

Must demonstrate the ability to listen, talk, type and perform research simultaneously using various research channels, both online and hard copy.

Must be able to follow a call guide.

Ability to provide education to our members and providers on various avenues available to them to obtain information such as the website.

Promote good working relations and positive work environment while acting as a role model to coworkers.

Must remain positive, pleasant, and helpful under a wide variety of circumstances including angry customers. Employee must be able to be on telephone constantly except for breaks and lunches and must wear a headset that plugs into the phone. Communication by telephone and direct personal contacts will consume 95% of the workday. Must operate a Personal Computer (PC) at least 95% of the day in which a sitting/stationary position is required. While performing the duties of this job, the employee is regularly required to talk or hear. Is subject to work standards and must achieve and maintain a commendable performance level in production and quality with minimal supervision. Must be able to adhere to a very strict schedule to include varying start and stop times and when allowed to go to break/lunch.

Qualifications

High school education or its equivalent required. College or continuing education courses in communications, interpersonal relationships, psychology, anatomy, physiology, medical terminology, composition or business letter writing is preferred.

Working knowledge of Blue Cross and Blue Shield of Kansas customer service systems is required upon completion of training.

Detailed knowledge of contracts, benefit coding, enrollment regulations, and legal issues such as HIPAA, COBRA, OBRA, and MSP are required upon completion of training.

Excellent customer service skills, problem solving skills and organizational skills are required.

Must be comfortable working individually in a structured environment.

Proficiency in Grammar, Spelling, Typing and Basic Math are required.

Two year’s experience navigating multiple computer systems preferred.

Two year’s customer service experience preferred.

Excellent human relations and communication skills are required with the ability to interact positively with external customers and all levels of internal staff.

Compensation is $17.35/hour. Apply online at https://bcbsks.wd1.myworkdayjobs.com/External/job/Topeka/Customer-Experience-Representative_R2021001.

Listing expires on Friday February 5th, 2021

Clinical Support Specialist

Why Midland?
On top of our competitive pay, we offer a comprehensive benefits package to qualifying part-time and full-time employees that includes: medical, life, dental, and vision insurance options. We understand the importance of a work-life balance and provide an extensive PTO plan to qualifying employees. Join our team and make a difference in the lives of others… and yours.

Summary
The primary focus of this position is to support program staff and activities, data entry, provide all personnel and contacts with prompt, courteous attention to their phone calls and requests. This individual serves as a point-of-contact for office visitors and members of the inter-disciplinary team and other assigned functional areas. This position is supervised as designated on the agency organizational chart.

Employment Status: Full-time

Typical Hours of Employment: M-F 8a-5p

Employment Location: Topeka, KS

Required Application Materials: Online Application, Resume

Essential Duties & Responsibilities

People
Answers phone in a pleasant, professional and helpful manner; directs calls appropriately and records accurate and complete messages.
Greets, announces, and directs visitors as necessary, making them feel welcomed and comfortable.
Assists in patient/client and family care as needed.
Works collaboratively with other staff.

Service
Sends out-going facsimiles as requested and distributes incoming facsimiles to appropriate staff.
Provides appropriate reports from software applications as requested.
Enters and updates data in the electronic documentation system as directed (i.e. supplies, history updates, admission paperwork for palliative care, basic demographics, etc.).
Prints reports, face sheets, med lists, etc. from the EDS.
Provides support to the clinical staff regarding medical record and EDS issues.
Takes referral by phone or office drop-ins as directed.
Assists with building housekeeping as needed (i.e., wash dishes, sweep, vacuum floors, dust, empty trash).
Provides administrative support to clinical team (i.e., typing, copying, recording meeting minutes, etc.).
Carries out the mission and values of Midland.
Articulates Midland Philosophy.
Demonstrates good customer service the Midland Way, at all times.
Performs other duties as assigned.
Assists in other areas of the Midland organization as may be needed.

Quality
Maintains front office and waiting area appearance to provide warm and welcoming environment.
Maintains and supervises operation of office machinery.
Updates the policy and procedure book(s) when changes are made.
Organizes, inventories and orders supplies.
Respects the autonomy and right of confidentiality of patients/clients and families.
Comes to work in neat, clean attire and consistently presents an appropriately professional appearance.
Performs all duties as assigned in an effective manner.
Complies with Midland policies and procedures.

Finance
Maintains good attendance in accordance with Midland Standards.
Utilizes company resources in a prudent and appropriate manner. Is a good steward of company resources.
Operates within the Midland Care Finance Model

Growth
Attends staff and departmental meetings as required.
Participates in performance improvement activities.
Utilizes evolving technology as assigned.
Serves as a Universal Employee and accept assigned duties in a cooperative manner.
Completes annual mandatory education requirements.

Qualifications                                                                                                                                                     Excellent customer service skills a must. Excellent communication, office and organizational skills. Experience with multi-line phone system. Ability to understand the organization computer system(s) and the software used within the department as applicable to position. 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 capacity to drive and the availability of a car is preferred. The ability to use the telephone is also essential. The ability to handle office equipment such as a copier is essential.

The ability to use the telephone is essential. Verbal, non-verbal and interpersonal communication skills are necessary in this job. The ability to communicate in a professional manner, both verbally and in writing, on the level necessary for a particular situation is essential.

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

Please apply online at https://www.jobs.ks.gov. Please reference vacancy number 198493

Listing expires on Thursday February 4th, 2021

Biller/Account Representative

QUALIFICATIONS

• High School graduate required
• Some medical facility or medical business office experience preferred
• Experience in customer relations
• Experience in third party payer requirements preferred
• Automated billing systems experience preferred
• Training/experience in business office activities preferred
• Requires frequent and constant judgement for timely response to patient questions and concerns.
• Requires language skills adequate for effective written and interpersonal communication in American English.
• Require visual and auditory acuity adequate for frequent use of computers and occasional use of other business office equipment.
• Ability to sit for long periods and to perform desk and office activities.

OCCUPATIONAL EXPOSURE
Category III exposure to bloodborne pathogens may encounter chemical hazards.

RESPONSIBILITIES

Charge Posting & Billing:
• Posts charges into the Information Systems operating software accurately and timely using information from the medical chart, assigned codes, and supply charge sheets.
• Investigates inaccuracies and takes appropriate action to ensure claims are accurate and appropriate.
• Maintains missing items and actions needed from coders.
• Maintains radiology and implant log to ensure maximum reimbursement.
• Facilitates coding of all endoscopy procedures.
• Recommends changes to charge master to maximize lawful reimbursement.
• Files claims to primary and secondary payers in a timely fashion.
• Maintains a log capturing frequency and reasons for claim rebilling.
• Regularly monitors on-line with Greenway for claim status and takes action as appropriate.
• Promptly responds to patient requests for itemized patient statements.
• Research and resolve client or payer billing problems or issues.

Collections and Payment Posting:
• Compares insurance payments to payer contracts to ensure proper reimbursement.
• Develops acceptable payment plans for private pay patients as warranted.
• Posts payments into the Information Systems operating software in an accurate and timely fashion.
• Notifies CEO, CFO and/or Teamleader of any alarming or developing reimbursement trends with payers.
• Processes credit card payments and maintains settlement reports.
• Processes, monitors and accepts prompt-pay discounts from third-party payers.

Communications:
• Discusses financial obligations with the patient or family member, explaining fees and reimbursement process
• At patient request, provides a written explanation of estimated fee schedules prior to surgery and documents it in the patient’s medical record.
• Determines patient qualification for coverage by third party payer and informs patient or family member of status; if patient is not covered, arranges for payment.
• Communicates with patients before their arrival about deductibles, co-payments and other patient responsible amounts.
• Processes charity care applications in a timely manner with CEO, CFO and/or Teamleader involvement; communicates outcomes to patients (and physicians as needed).
• Maintains positive relationships with physician offices regarding estimation of patient charges, pre-certification and referrals.

Organization / Other:
• Regularly requests and processes “credit-balance” report.
• Completes “month-end” reporting requirements in a timely manner; provides daily updates on cash collections (e.g. deposit template).
• Handles all cash, checks, over-the-counter payments and prepares bank deposits according to business office policy and procedures.
• Regularly attends educational workshops to keep apprised of developing medical billing laws and regulations
• Processes all incoming mail according to business office policies and procedures.
• Keeps personal workspace clean and orderly.
• Actively supports the Facility’s compliance program; follows policy for reporting suspected illegal conduct or other conduct that violates the facility’s Standards of Conduct.
• Reviews forms needed to support billing for accurate completion.
• Reports regularly to the Business Office Manager about the status of current projects or workflow.
• Completes other projects and work as assigned.

Competitive pay, commensurate with experience. To apply, visit company website at manhattansurgical.com or call 785-776-5100 to speak with Human Resources.

Listing expires on Saturday January 9th, 2021

Customer Experience Representative

Provides a world-class customer service experience by trouble shooting and resolving complex customer inquiries from members, employers, and providers.

***These positions will start February 1, 2021 and will train and temporarily work remotely from home under our current workplace policy. Once employees return to our onsite work locations, these positions will be able to choose to work in either the Topeka or Lawrence office.

Essential Functions
Research, resolve and respond to inquiries and correspondence via telephone, written communication and/or in person. Inquiries will be from members, providers, group leaders and internal staff regarding a diverse range of topics including, but not limited to, contract benefits, changes in coverage, eligibility, claims, provider networks, payments and appeals.
Uses critical thinking skills to determine course of action needed to resolve inquiry or complaint.
Must be comfortable being monitored for level of efficiency, accuracy and customer satisfaction and must be able to meet performance standards to achieve both individual and department goals.
Must be able to communicate effectively with appropriate tone and content. Customer Service calls are recorded to ensure accuracy and to provide a tool for feedback for reps.
Must be able to balance workload to ensure timely and accurate response to both internal and external customers.
Initiate claims adjustments and update enrollment information through the on-line systems as determined necessary through inquiries.
Must demonstrate the ability to listen, talk, type and perform research simultaneously using various research channels, both online and hard copy.
Must be able to follow a call guide.
Ability to provide education to our members and providers on various avenues available to them to obtain information such as the website.
Promote good working relations and positive work environment while acting as a role model to coworkers.
Must remain positive, pleasant, and helpful under a wide variety of circumstances including angry customers. Employee must be able to be on telephone constantly except for breaks and lunches and must wear a headset that plugs into the phone. Communication by telephone and direct personal contacts will consume 95% of the workday. Must operate a Personal Computer (PC) at least 95% of the day in which a sitting/stationary position is required. While performing the duties of this job, the employee is regularly required to talk or hear. Is subject to work standards and must achieve and maintain a commendable performance level in production and quality with minimal supervision. Must be able to adhere to a very strict schedule to include varying start and stop times and when allowed to go to break/lunch.

Qualifications
High school education or its equivalent required. College or continuing education courses in communications, interpersonal relationships, psychology, anatomy, physiology, medical terminology, composition or business letter writing is preferred.
Working knowledge of Blue Cross and Blue Shield of Kansas customer service systems is required upon completion of training.
Detailed knowledge of contracts, benefit coding, enrollment regulations, and legal issues such as HIPAA, COBRA, OBRA, and MSP are required upon completion of training.
Excellent customer service skills, problem solving skills and organizational skills are required.
Must be comfortable working individually in a structured environment.
Proficiency in Grammar, Spelling, Typing and Basic Math are required.
Two year’s experience navigating multiple computer systems preferred.
Two year’s customer service experience preferred.
Excellent human relations and communication skills are required with the ability to interact positively with external customers and all levels of internal staff.

Compensation is $17.35/hour. To apply, go to https://bcbsks.wd1.myworkdayjobs.com/External/job/Topeka/Customer-Experience-Representative_R2020441.

Listing expires on Thursday December 10th, 2020

Claims Examiner

Job Description Summary
Apply local contract benefits to provider submitted claims.

**Position will start January 11, 2021 and will train and temporarily work remotely from home under our current workplace policy. Once employees return to our onsite work locations, these positions will return to the Topeka office.

Essential Functions
Be able to finalize claims on trained lines of business and contracts.
Analyze system generated edits and use judgement when interpreting guidelines to make referral/denial/payment decisions for professional claims.
Reviews, prepares, creates and/or sends letters, reports, and forms.
Work claim status reports to ensure accurate claims control.
Supports the organization’s quality program(s).
Ability to meet or exceed Performance Competencies.
Meet departmental, contractual, and national performance goals.
Requires constant and intense concentration to complete complex job functions. Work is confining and requires keying at PC up to 80% of the day.

Qualifications
High school diploma or GED required.
Strong organizational skills
Ability to work in a team environment
Ability to maintain low absenteeism
Ability to think independently and analytically.
This position required the ability to process detailed information
By completion of training, must have knowledge of product lines and have the ability to resolve claims edits for those lines.
By completion of training, have working knowledge of multiple systems used for claims processing.

Compensation is $14.98/hour. To apply, go to https://bcbsks.wd1.myworkdayjobs.com/External/job/Topeka/Claims-Examiner_R2020442.

Listing expires on Thursday December 10th, 2020