Medical Billing Specialist

Job Description:

The Medical Billing Specialist is responsible for outpatient coding, data entry, billing, insurance and demographic verification, timely follow-up on accounts, and the resolution of denials or underpayments. Ensures on-time clean claim submission. Oversees the account receivables and maintains detailed/accurate account documentation. Follow up on open claims thoroughly, accurately, promptly, and with all supporting documentation. Review, document and resolve all incoming correspondence and payor calls. Assist as needed on aging reports, reports on all payor issues and/or denial trends to Lead/Supervisor and may appeal and/or rebill underpaid claims and assist with payments as needed.

Essential Functions

• Review billing claim forms to ensure fields are accurately populated and aligned.
• Identify and return incomplete claim information and /or supporting documentation to meet payor requirements
• Initiate contact and respond to inquiries from various external sources
• Comply with all government and third-party payers, regulatory mandated requirements for billing collects and PHI
• Answer questions and assist AR regarding billing issues as needed
• Ability to maintain confidentiality of all information under HIPPA guidelines
• Meet departmental productivity and quality standards in time frame given upon completion of training

Skills

• Medical Billing and Coding
• Reimbursement
• Billing Operations
• Medical Billing Software
• Insurance claims processing
• ICD Coding
• Patient Care
• Medicare Billing

Minimum Qualifications

• Demonstrated skill to be self-directed, coupled with exemplary time management skills and the ability to simultaneously manage multiple tasks
• Ability to execute processes efficiently and maintain the highest level of quality
• Demonstrates ability to identify and communicate issues
• Computer literacy skills, including Google and Excel spreadsheets and Microsoft Office products
• Enhanced communication and customer service skills

Preferred Qualifications

• Experience and working knowledge of 1500 claim forms
• Experience with billing editor systems
• Understanding of the entire revenue cycle process
• Knowledge of Revenue and ICD coding language
• 1-2 years of back-end revenue cycle experience in a facility and hospital setting
• Knowledge of Medicaid and Medicare billing regulations

Physical Requirements:

• Ability to interact with team members
• Operate computers and other office equipment requiring the ability to move fingers and hands
• See and read computer monitors and documents
• Remain sitting or standing for extended periods of time to perform work on a computer, telephone, or other equipment

Location:

Valley Center Tower

Work City:

Murray

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

$18.93 - $27.45

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.