Medical Billing Specialist

Overview

The Sorenson Legacy Foundation Center for Clinical Excellence (SCCE) is seeking a Medical Billing Specialist (Business Assistant III) who will be responsible for the accurate and timely processing of daily charges for designated healthcare clinics in the SCCE.

 

This position includes excellent benefits such as 13 paid holidays; 12 days of vacation and 12 days of sick leave per year; 50% tuition reduction for employee, spouse, and dependents; competitive health benefits packages and a generous contribution toward your retirement. View more information here: Summary of Benefits 2023-2024

Responsibilities

Processes daily charges and manages patient accounts according to SCCE’s billing policies and procedures

• Review and process daily charges by reviewing coding and charge amounts, submitting claims, and resolving denied claims
• Manage patient accounts by addressing credits, past due balances, refunds, and addressing patient questions or concerns
• Prepare, submit, and renew pre-authorizations as needed
• Coordinate with clinic providers, front desk staff, and billing manager to ensure successful billing of claims

Audits and submits accounts to designated collection agency

 

Completes, submits, and maintains provider credentialing and provider group demographics

 

Other duties as assigned

Qualifications

Minimum Qualifications

• High school diploma or equivalent
• Six years of related work experience; or an associate degree/technical training plus four years of related work experience; or a bachelor’s degree plus two years of related work experience
• Two years of work experience must be working in a healthcare or medical HIPAA environment
• Effective customer service skills and the ability to work cooperatively with a diverse population
• Strong writing and editing skills

Preferred Qualifications

• Two years of experience billing or coding in audiology, speech language pathology, psychiatry, behavioral health (counseling, psychological testing, applied behavior analysis), or telehealth services
• Basic healthcare accounting and/or bookkeeping experience
• Experience with electronic medical records and/or practice management software
• Knowledge of Medicare and Medicaid standards
• Knowledge of coding related to healthcare services, specifically CPT and ICD-10 codes
• Understanding of claim submittals for reimbursement from insurance companies
• Understanding of regulations related to collection of unpaid debts
• Advanced patient account management skills:  posting payments, researching accounts, reconciling payments and charges
• Strong data analysis skills

Knowledge, Skills, and Abilities

• Knowledge of electronic medical records and practice management software
• Skilled in the use of personal computers and related software applications
• Knowledge of healthcare finance/accounting practices
• Skilled in organizing and managing time effectively
• Ability to develop, enhance, and follow documented policies and procedures
• Skilled at developing and maintaining an effective system of professional communication, both verbally and written, with clinic providers, staff, billing team, insurance payer representatives, and patients
• Maintain current knowledge of insurance payer requirements, state, local, and federal rules and regulations
• Knowledge of privacy & HIPAA standards and compliance
• Ability to work with limited supervision and in a team environment
• Ability to manage assigned projects effectively and demonstrate reliability and strong work ethic

Required Documents

Along with the online application, please attach:

Resume to be uploaded at the beginning of your application in the Candidate Profile under “Resume/CV”

Contact information for three professional references to be entered in the Candidate Profile

Cover letter to be typed/pasted at the end of your application

Please do not upload any documents other than your resume to your candidate profile. You will be instructed to type/paste the cover letter during your application. 

 

**Document size may not exceed 10 MB.**

Advertised Salary

Minimum $35,000; commensurate with experience, plus excellent benefits

ADA

Employees work indoors and are protected from weather and/or contaminants, but not, necessarily, occasional temperature changes.  The employee is regularly required to sit and often uses repetitive hand motions.

College/Department Highlights

The Emma Eccles Jones College o