- Timely creation and submittal of clean claims to third party payers
- Electronic and manual insurance payment posting
- Reviewing and following up on claims with errors as identified before being submitted
- Researching and resubmitting denials received from third party payers
- Following up on unpaid or incorrectly paid claims with insurances, as needed
- Reviewing patient accounts for accuracy, insurance verification, statement generation, and patient payment collection
- Responding to related billing questions from patients and staff (most often patient service representatives and providers)
- Additional billing duties, as assigned.
- Carries out Vibrant Health's mission to provide access to respectful, empowering, culturally sensitive and appropriate high-quality health care for the community, regardless of socio-economic obstacles.
- Accepts and uses supervision, direction and consultation to maximize available resources in the completion of work duties.
- All job responsibilities will be carried out under the direction of the organization's policies and procedures.
- Additional responsibilities may be assigned as needed to maintain and improve effective functioning of the department and to advance the mission of the organization.
- At least two years related experience required
- Excellent organizational skills and attention to detail
- Excellent time management skills with a proven ability to meet deadlines
- Ability to function well in a high-paced environment
- Excellent verbal and written communication skills
- Excellent interpersonal and customer service skills
- Proficient with Microsoft Office Suite or related software
- High school degree or above required
- Develop rapport with patients and their families, community and other health care personnel.
- Exhibit a professional and respectful demeanor.
- Work successfully independently and within a team, shifting tasks, prioritize tasks, problem-solve daily, and complete work within deadline
- Demonstrate excellent customer service, helpfulness, and a positive attitude.
- Possess superior organizational skills with attention to detail and the ability to multi-task and meet deadlines.
- Demonstrate the ability to recognize, understand, and appreciate the value of cultural diversity and communicate medical information in plain language.
- Demonstrate social and cultural sensitivity appropriate to ethnically and economically diverse patients and staff.
- Previous medical/healthcare billing experience and working in and Electronic Medical Records system (specifically eClinicalWorks)
- Experience working with Kansas Medicaid, Medicare, and Commercial payers
- Certified Professional Coder Certification and/or working knowledge of CPT and ICD coding
- Must have manual dexterity and experience to perform handwritten paper work, recordkeeping, and filing.
- Prolonged sitting, standing, or walking may be required.
- Frequent bending/stooping, squatting, reaching above the shoulders, twisting and turning, kneeling, and pushing/pulling may be required.
- Employment is contingent upon successful clearance from Criminal, Kansas and Missouri Child/Elder Abuse and Neglect, Sex Offender background investigations, TB testing, pre-employment drug testing, and verification of Hepatitis-B, flu and COVID-19 immunizations.
- Occasional evening and weekend availability are required.
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billing specialist - Kansas City, United States - Vibrant Health - Wyandotte Neighborhood Clinics
Description
SUMMARY OF POSITION
The Healthcare Billing Specialist is an important part of Vibrant Health's Revenue Cycle Management. Their responsibilities will include the creation of claims across all departments, payment posting, follow up on denials, account reviews, timely correspondence with our providers and patient service representatives, and other billing related duties as assigned. It is important that this individual work well in a collaborative, team-based environment.
ESSENTIAL JOB DUTIES
REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES
Individual must:
PREFERRED KNOWLEDGE, SKILLS, AND ABILITIES
SUPERVISORY RESPONSIBILITY
N/A
Americans with Disability Specifications
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands and fingers to handle or feel objects, tools or controls; reach with hands and arms; climb stairs; talk and hear. The employee must frequently lift and/or move materials that may weigh up to 40 pounds.
Work Environment
Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Trauma Informed Care
At Vibrant Health, we understand that many, if not most, people have experienced trauma in their lives. We have made a commitment to trauma informed care and support and educate team members continued development of understanding of how trauma affects individuals and coping strategies. We expect employees to incorporate their understanding about trauma into interactions with our patients and families, clinic visitors, and with each other.
Commitment to Diversity
We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We are committed to cultivating a workplace in which diverse perspectives and experiences are welcomed and respected. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We are an Affirmative Action employer. We encourage individuals with diverse backgrounds to apply and desire priority referrals of protected veterans.
