Peninsula Community Health Services of Alaska.

  • Soldotna, AK


  • Irreversible.

  • Full-time.

TITLE: Billing Specialist

REPORTS TO: Chief Financial Officer

WORK WEEK: Hours not to go beyond 40 weekly

WAGE CLASSIFICATION: Non-exempt

OSHA RISK CLASSIFICATION: Low

SUMMARY POSITION STATEMENT

This position exists to make sure the monetary wellness of the PCHS company through prompt and precise filing of insurance coverage claims and collection of client accounts and guarantee correct publishing of payments into existing PCHS systems for medical, oral and/or behavioral health. This position might be accountable for any or all the necessary functions noted below in the electronic health record systems.

ESSENTIAL FUNCTIONS/ROLES & RESPONSIBILITIES OF THE POSITION

  • Using coded information to produce and send claims to insurance provider
  • Work straight with personnel, suppliers, staff member, clients and insurer to get claim processed and paid
  • Review and appeal overdue and/or rejected claims
  • Post payments, modifications and rejections in systems as suitable
  • Verify client protection and insurance coverage benefitsAnswer client billing concerns
  • Handle collection efforts on all unsettled and pending accounts
  • Generate, procedure and/or mail month-to-month declaration.
  • Audit information when essential and/or proper
  • Assist supervisor in figuring out when accounts are not collectable.
  • Assign proper medical diagnosis (ICD-9) and treatment (CPT) codes based upon instructions from service providers. (If candidate is a licensed medical coder).
  • Consistent presence and punctuality is needed and anticipated to work the hours set by PCHS and/or the schedule set by supervisor.
  • Expected to finish necessary trainings such as CPR, Mandt, Mental Health First Aid and any others considered needed for this position.
  • Perform tasks as designated by supervisor.

LEGAL CONCEPTS

  • Maintain privacy.
  • Follow federal, state and regional legal standards.
  • Follow license requirements.
  • Maintain HIPAA compliance

POSITION REQUIREMENTS

Education: High School Graduate. Qualified Medical Coder chosen however not needed.

License: No license needed. Certificate favored however not needed.

Experience: 2 years’ experience in a medical setting, with medical billing experience needed.

Vaccines: Must reveal evidence of Covid vaccine due to Federal Mandate unless lawfully exempt.

Job Requirements:

  • Must be computer system literate, competent with Microsoft Office Products and have the ability to type 45 wpm and should have 10 crucial abilities.
  • Possess a standard understanding of billing and collection guidelines and policies.
  • Possess “individuals abilities” and take pleasure in operating in a healthcare setting.
  • Possess the tact needed for protecting payment or going over client’s financial resources.
  • Expected to check out and react prompt to e-mails through Outlook.
  • Pass a State needed background check plus a pre-hire drug screen.

CORE VALUES

  • Treat all colleagues and clients with self-respect and regard.
  • Project an expert way and image.
  • Adhere to ethical concepts.
  • Communicate expertly & successfully– concentrate on cooperation and win/win results.
  • Serve as Community Liaison.
  • Abide by the policies and treatments laid out by PCHS consisting of the Employee Manual.
  • Follow and impose the objective of PCHS.
  • Report any security and/or health issues to management as quickly as they emerge.
  • Expected to bring your finest work to PCHS.
  • Employees are anticipated to manage problems and complaints expertly, sticking to the worker handbook and to promote worker core worths.

TYPICAL PHYSICAL DEMANDS:

  • Requires eye-hand coordination and handbook mastery enough to run a keyboard, telephone, calculator and other workplace devices.
  • Requires typical variety of hearing and vision to record, prepare and interact in composing, face to face and by phone.
  • Long durations of reporting might apply.
  • May be periodic lifting documents or boxes up to 15 pounds.

JOB RELATIONSHIPS:

  • Coordinates with other center team member, medical suppliers, employee and manager.

PLEASE TAKE NOTE OF THE FOLLOWING APPLICANT’S STATEMENT TO WHICH

YOU ARE AGREEING TO WHEN YOU SUBMIT YOUR APPLICATION

I comprehend that the company follows an “at will work” policy, because I or the company might end my work at any time, for any factor constant with relevant state or federal law. I comprehend that this application is not an agreement of work. I comprehend that federal law restricts the work of unapproved aliens; all individuals employed need to send acceptable evidence of work permission and identity; failure to send such evidence will lead to rejection of work. I comprehend this application will be active for a duration of one year; after that time, if I want to be thought about for work, I should send a brand-new application.

I willingly license any present or previous company, company, school, health center, university, or federal government company and it’s staff members or representatives to launch any and all info worrying my previous position to any potential company, or it’s workers or representatives, making an ask for such details. I comprehend that the details might consist of, however is not always restricted to, efficiency reports, records, task descriptions, disciplinary reports and viewpoints concerning my viability for the position.

I willingly launch and hold safe previous companies, schools, medical facilities or federal government companies, and their staff members or representatives from any and all claims, liabilities, or damages emerging from the disclosure or release of info or viewpoints worrying my expert certifications.

I license that all the declarations herein hold true and appropriate to the very best of my understanding and comprehend that any falsification or willful omission will suffice cause for termination or rejection of work.

I accept send to any pre-hire screening PCHS needs.

I understand and consent to a background check needed by the Alaska Background Check Program and pre-hire drug screen. I acknowledge that I need to clear both prior to an official deal can be made by PCHS.

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Peninsula Community Health Services of Alaska.