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HealthCore Clinic Medical Billing Specialist in Wichita, Kansas

This job was posted by https://www.kansasworks.com : For more information, please see: https://www.kansasworks.com/jobs/11655996

Job Purpose: Processes all insurance claims accurately to ensure a timely return of payment. Work rejections and denials, resubmitting claims, filing appeals and providing additional information to substantiate claims information as needed. Process payments and denials from insurance companies both electronically and manually. Prepare, review and send patient statements. Handle patient inquiries; identify and resolve patient billing issues. Patient financial counseling along with Collection of patient balances.


Patient-Centered Medical Home Essential Functions:


· Patient Population Management:


· Verify insurance and assist patients in understanding coverage


· Assist in verifying accuracy of claims and patient bills


· Care Coordination:


· Self-management Support:


· Communication Skills:


· Excellent interpersonal and organizational skills are required, including the ability to multi-task and adapt to a changing work environment. Display good judgment and decision making skills.


· Ability to establish and maintain effective working relationships with other administrative and clinical staff, and the public.


· Display professional appearance in accordance with HealthCore Clinic’s (HCC) policy.


· Quality Improvement:


Additional Essential Functions include the following.


· Prepares and submits claim files to various insurance companies through the clearinghouse either electronically or by paper.


· Validate patient insurance policies and demographics.


· Work claim edits and insurance denials; issuing adjusted, corrected and/or rebilled claims. Filing appeals as needed.


· Engage with insurance representatives to identify and resolve issues in claims processing.


· Handle patient inquiries. Identifies and resolves patient billing issues and balances.


· Prepare, review and send patient statements.


· Work with patients on unpaid balances; setting up payment plans and validating if they meet qualifications for discounted services.


· Review accounts and make recommendations to management regarding non-collectible accounts.


· Process payments and denials from insurance companies either electronically or manually.


· Process patient payments.


· Reconciling posting of payments with finance.


· Stay current on billing and insurance guidelines and requirements.


· Participates in educational opportunities.


· Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations


Additional Responsibilities:


· Other duties as assigned


Qualifications and Requirements:


· Associate’s degree or equivalent from two year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience.


· Six months to one year previous insurance experience. ICD-10, CPT and medical terminology knowledge.


· Thorough understanding of medical insurance is required.


· Experience Electronic Medical Records/Electronic Health Records (EMR/EHR) and general medical billing procedures.


· Knowledge of basic arithmetic to make calculations, balance and reconcile figures, and make changes accurately.


· Excellent communication skills, both verbally and in writing


Working Environment:


Works in a well-lit, climate controlled environment. Repetitive movement-requires repetitive hand and finger movement, keying information into the computer. Regularly required to sit and work at computer monitor. Ability to lift up to 20 pounds. Occasionally required to stand, walk, reach with hands and arms, climb or balance, stoop, kneel or crouch.


Working Hours:


8am – 5pm (possible rotation to cover later hours)


Physical Demands


Works in a well-lit, climate controlled environment. Repetitive movement-requires repetitive hand and finger movement, keying information into the computer. Regularly required to sit and work at computer monitor. Ability to lift up to 20 pounds. Occasionally required to stand, walk, reach with hands and arms, climb or balance, stoop, kneel or crouch.


Job Type: Full-time


Benefits:


+ 401(k)


+ 401(k) matching


+ Dental insurance


+ Disability insurance


+ Employee assistance program


+ Flexible spending account


+ Health insurance


+ Life insurance


+ Paid time off


+ Vision insurance


Schedule:


+ Monday to Friday


Application Question(s):


+ What are your salary requirements?


Work Location:


+ One location


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