Billing Specialist - Burbank, United States - Enki Health Services, Inc.

Enki Health Services, Inc.

Verified Company

Burbank, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

The following statements are intended to describe the general nature and level of work being performed.

They are not to be construed as an exhaustive list of all duties and responsibilities required of personnel so classified.

_

Position Summary:

This position shares primary responsibility to make sure client's health insurance information is entered into the system correctly, bill third-party insurances, Medicare, Medi-Cal, post payments, work denials, complete reports and trouble-shoot billing issues.

Core Duties and Responsibilities:

Ensure the electronic health system is updated with any new client financial information, timely and accurately.
Ensure the thirdparty insurance information is accurate to submit electronic claims (e.g. private insurance, HMO, Medicare, LAC, etc.).
Adjudicate claims by posting payment or denied codes on a timely basis.
Prepare monthly activity and accounts receivable reports to forward to the Accounting Department (Medicare, Private Insurance, Client Payments).
Analyze trends and render adjustments as necessary.
Utilize and generate Exym reports to troubleshoot claims with problems.
Verify discrepancies and resolve billing issues.
Follow up and/or assist providers on returning notes, void claims or any other issues related to billing.
Complete Medicare benefit inquiries timely, when requested by the clinic or Call Center.
Work project reports as assigned and follow up with status timely.
Be available for phone consultation to financial departments at clinic(s).
Other duties as assigned.
Comply with all company policies and procedures as applicable.

Minimum Education and Experience Preferred:

One (1) year experience with billing Medicare, insurance and clients.
Experience with CPT codes and HCPCs codes.
Knowledge of Medi-Cal terminology and system.
Experience with filing, data entry, maintenance of A/R records, and word processing.
High school diploma or equivalent and above.

Licenses/Certifications:

Medical coding and billing certification preferred but not required.
Valid California driver's license, current automobile insurance, and eligibility to drive for the Company.

Knowledge, Skills and Abilities:

Medical coding and billing experience.
Ability to perform in a positive, courteous, flexible and adaptive manner.
Able to exercise independent judgment and initiative.
Possess excellent organizational skills, including, but not limited to, the ability to prioritize and complete multiple tasks.
Ability to organize and prioritize work so as to ensure that deadlines are met.
Computer literate and experienced with computer programs such as Microsoft Office Word, Excel, PowerPoint and Outlook.
Experience using an electronic health record is a plus.
Must be able clearly to communicate, both orally and in writing.

Pay Range:
$ $25.00/Hour (Determined by Experience and Qualifications)

Physical Requirements:

See well enough (with or without corrected vision) to read fine print, handwritten materials, and a computer screen.
Speak and hear well enough (with or without assistive device) to converse in person and by telephone.
Finger, handle, feel, and reach with hands and arms, including ability to use a computer keyboard.
Have the mobility (with or without assistive device) to stand, sit, crouch, and move from one work area to another.
Have the strength to lift, carry or push office equipment and supplies used in normal job functions up to 20 lbs.
Stamina to effectively perform work activities.

Policy Statement:

Enki Health Services Inc. is an equal opportunity employer with a standing policy of nondiscrimination.

This means that all qualified persons are accorded an equal opportunity for employment or promotion without regard to race, color, creed, religion, sex, gender, gender identity, gender expression, sexual orientation, marital status, registered domestic partner status, age, pregnancy, national origin, ancestry, physical or mental disability, medical condition, genetic information, military and/or veteran status, or any other basis protected by applicable law.

Enki will comply with all fair employment laws and will take affirmative measures to eliminate or prevent illegal discrimination.

It is the policy of Enki that positive action be taken to insure that members of protected classes have an equal opportunity for all jobs.

Enki will comply with all requirements of the Americans with Disabilities Act (ADA).