Medical Billing Specialist

Description

CCAP Mission Statement - To empower all people and communities, challenged by poverty as well as social and cultural barriers, through advocacy, education, and access to high quality health and human services.

Job Summary:

This position is responsible for posting all third-party insurance payments, process all denials appropriately and follow up on all unpaid claims. Work with patients and external collections company to provide account resolution. Work with the Billing Manager to maintain A/R.

Work Schedule Demands:

The position is full-time, 40 hours per week. Part-time when specified by the program director. May be required to work at any CCAP location and/or attend meetings off site. 

Requirements

Required Qualifications:

• High School Diploma or GED, 3 years' experience in third party billing 
• Working knowledge and strategic understanding of medical billing and reimbursement principles, procedures and documentation 
• Knowledge of physician referral protocols and conventions 
• Must have excellent communication skills both written and verbal, and internal personal skills. 
• Ability to read, understand and follow oral and written instructions 
• Must possess professional telephone manner 
• Must possess all basic billing knowledge and understanding of Third-Party Reimbursement. 
• Must be able to use a computer and possess basic skills in Microsoft Office products, ie Excel, Outlook and Word 
• Excellent analytical and problem-solving skills 
• Ability to perform multiple tasks effectively 
• Able to work both independently and as part of a team 
• Strong knowledge of practice management system 
• Complete all required background checks 
• Provide/maintain all required immunizations and/or vaccinations   

Key Responsibilities:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and /or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  

• Record and post all third-party payments and adjustments in practice management system
• Works with manager to evaluate denials and trends in insurance payments and denials
• Works with Billing Manager and Site Managers to train and educate staff on proper procedures
• Answers questions from patients, clerical and front desk staff and insurance companies
• Identifies and resolves patient billing complaints
• Prepares and reviews weekly patient statements
• Evaluates patient’s financial status and establishes budget payment plans. Follows and reports status of delinquent accounts
• Participates in educational activities and attends monthly staff meetings
• Performs various collection actions including but not limited to contacting patients by phone, correcting and resubmitting claims to third party payers
• All other assignments as directed by Billing Manager

Confidentiality of Information:

Full access to client’s medical and or computer data including financial / statistical material. Maintains client confidentiality at all levels of interaction in accordance with State and Federal Laws and CCAP policies and procedures. 

Physical Demands:

The physical demands and work environment 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. 

General office environment: Manual dexterity: operate computer, answer incoming telephone lines. Light physical activity: walking, standing, sitting, bending and stretching and lifting (up to 20 lbs.).  

CCAP is dedicated to the goal of building and maintaining a diverse and inclusive workforce committed to caring for patients in a manner that is respectful of cultural difference. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Our Benefits

Our comprehensive benefits package includes 403(b), health insurance, vision and dental insurance, life insurance, long term disability, flexible spending accounts, health reimbursement accounts, tuition reimbu