Honor Community Health
- Pontiac, MI
- Permanent
- Full-time
Position Description
The full-time, non-exempt Billing Specialist I is a vital member of a high carrying out health care group offering workplace and billing assistance by examining claims prior to submission, fixing any mistakes kept in mind in the evaluation & supplying personnel education as suitable to prevent repeating mistakes, supplying front personnel protection assistance and tracking impressive problems and follow up for resolution. The Billing Specialist I will be help with examining overdue or rejected billing claims, working to make essential corrections and resubmitting the claims. In addition, the Billing Specialist I will support the clinicians and website personnel, addressing concerns, determining and starting training assistance as required associated to coding, billing, insurance coverage and NextGen PM. Billing Specialist I will function as assistance to appointed website by filling out at the front desk when a moderate personnel scarcity develops. Even More, Billing Specialist I will help Trainer, Clinical Office Operations and Billing Specialist II in determining and performing front workplace operations training requirements, consisting of, however not restricted to client registration, moving charge application procedure, empanelment and insurance coverage confirmation, insurance coverage recommendations, prior permissions and check-in and check-out treatments. Functions collaboratively to develop and preserve a culture of quality and commitment to supplying caring and high quality healthcare to locals and the neighborhood.
This position reports to the Revenue Cycle Manager. Our basic hours are Monday- Friday, 8: 30 am-5: 00 pm.
Responsibilities: Proficiently carries out all elements of earnings cycle management in a prompt way, consisting of, however not restricted to declare evaluation and submission, front-end procedure auditing, encounter hint tidy up, tending to pending everyday projects, effective payment publishing, payer particular requirements, day-to-day batch tidy up and rejection resolution.
- Read and react within 14 service hours all e-mails or other memos of billing/coding concerns. React to voicemail messages within 14 service hours.
- Attend all trainings, billing group and all personnel conferences as asked for.
- Review and comprehend payer prompt filing limitations to guarantee timely claim submission and follow up.
- Research and comprehend distinct billing difficulties by specialized (i.e. OB, Podiatry, Behavioral Health, Dental, and so on) as it associates with designated practice websites.
- Perform month-to-month A/R reports for appointed practice websites, fixes all immaterial concerns and intensifies concerns as proper.
- Identify patterns in rejections or overdue claims, alert manager and helps to train personnel as required.
- Assists with training personnel as appointed on front workplace operations, consisting of, however not restricted to client registration, empanelment and insurance coverage confirmation, insurance coverage recommendations, prior permissions and check-in and check-out treatments.
- Proficient in FQHC particular earnings cycle management.
- Provide front desk assistance protection as designated.
- Manage billing externs and short-lived hires appointed.
- Keep present on all payer and regulative modifications.
What are we searching for?
- High school diploma or equivalent is needed.
- Medical Insurance Billing Certificate or Associate Degree in associated field chosen.
- Certified Procedural Coder (CPC) chosen.
- Understanding of CPT and ICD-9/10 needed.
- Prior medical front workplace experience needed.
- Knowledge of health insurance policy and treatment handbooks chosen.
- A minimum 2 years expert billing experience needed.
- Experience operating in a health care environment and experience with Federally Qualified Health Centers is extremely preferred.
- A versatile and favorable mindset
- Ability to operate in a hectic environment
- Creating an outstanding client experience
- Patient focused frame of mind
What do we provide?
- 401 K
- Medical, Dental and Vision
- National Health Service Corp
- Public Loan Forgiveness
- Learning and development chances
- Supportive environment
COVID-19 Precautions:
- Remote Prescreening Interview Process
- Person protective devices supplied or needed
- Temperature screenings
- Sanitizing, decontaminating, or cleansing treatments in location
How to use
Applicants need to finish the complete application through our profession page at
Please keep in mind the picked prospect will be needed to send to a rap sheet check and recommendation check.
Our Commitment to Diversity, Equity and Inclusion
The variety of our individuals and clients is among our biggest strengths, and inclusive office allows us to welcome that variety to provide the very best services to our staff member and clients. Honor Community Health is an Equal Opportunity Employer. This business does not and will not discriminate in work and workers practices on the basis of race, sex, age, handicap, religious beliefs, nationwide origin or any other basis restricted by relevant law. Hiring, moving and promo practices are carried out without regard to the above noted products.
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Honor Community Health
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