[Hiring] Medical Billing Specialist @Executive Mental Health

Role Description

The Medical Billing Specialist acts as the bridge between the team of practitioners and insurance companies and contributes to the practice's overall revenue performance. As an advocate for our patients, you’ll be working with a team making a positive difference in the lives of the people of our community.

• Act as a valued member of the EMH team
• Demonstrate respect and compassion in every interaction
• Conduct oneself with the highest degree of honesty and integrity in every interaction
• Demonstrate a passion for caring as evidenced by interaction with co-workers, residents, families, and visitors
• Routinely attend department meetings and ongoing in-service and training programs, to present and exchange pertinent information
• Relay information between licensed staff and other staff members, and provide them with updates as needed
• Support EMH’s strategic planning and optimal financial reporting
• Contribute billing information needed for strategic plans and reviews
• Implement production, productivity, quality, and customer-service standards
• Resolve problems and identify billing system improvements
• Ensure timely verifications & referrals
• Confirm/Verify insurance benefits and financial data with the appropriate carrier via online verification systems or telephone inquiries
• Obtain and update demographic, next-of-kin, and insurance information, including referrals, authorizations, and signatures on patients following HIPAA rules and regulations
• Respect patient confidentiality and withhold restrictive information according to HIPAA guidelines
• Collect appropriate documentation for managed care programs regarding referrals and authorizations
• Facilitate payment processing, reconciliation, and reporting
• Adhere to established reporting procedures to ensure that the numbers balance
• Maintain working knowledge of all required computer systems
• Maintain current and accurate computer data
• Offer administration team support
• Welcome visitors by greeting them, in person or on the telephone; answering or referring inquiries
• Assist with administrative tasks including copying, faxing, taking notes, making travel plans, but not limited to scanning of medical records
• Schedule appointments according to the templates/departmental scripts while meeting business unit scheduling accuracy requirements
• Schedule appointments according to the physician templates for similar types of physicians, generally at one office or multiple session timeshares

Qualifications

• Minimum of 3 years of experience working as a Billing Specialist (required)
• University Degree (desired)
• High School Degree or equivalent (required)

Requirements

• Professional integrity: Consistency, compassion, cultural competence, and sensitivity
• Critical thinking: Excellent judgment and creative problem-solving skills, including negotiation and conflict resolution
• Communication: Strong written and oral communication skills; excellent interpersonal skills

Benefits

• Competitive pay
• Fully covered healthcare
• 401K retirement plan
• Paid parental leave
• Remote position with a PST preferred time zone