REVENUE SPECIALIST (BILLING SPECIALIST - IN PERSON POSITION)
Marimn Health
- Plummer, ID
- Permanent
- Full-time
- Medical, Dental, Prescription, and Vision for employee and all legal dependents.
- 401(k) plan with 5% employer match after 1 year of employment.
- Employer paid life insurance.
- Short and long term disability.
- Generous PTO with the ability to earn additional personal days.
- Hearing: within normal limits with or without use of corrective hearing devices.
- Vision: adequate to read 12-point type with or without use of corrective lenses.
- Must be able to verbally interact with staff, clients and public.
- Manual dexterity of hands/fingers for writing and data entry.
- Able to lift up to 25 lbs.
- Standing 25-75% of the day.
- Walking 25% of the day.
- Pushing up to 25 lbs.
- Pulling up to 25 lbs.
- Works with other members of the Revenue department to insure that all claims, payments and adjustments are processed in a timely manner.
- Confirms patient insurance eligibility.
- Processes charges from the EHR into the EPM and prepares encounters for billing.
- Creates electronic claims as required and prepares non electronic claims for mailing.
- Works the A/R as directed to insure the timely collection of billed encounters.
- Follows up on unpaid or contested claims with the expectation of resolving issues to facilitate payment.
- As required, posts payments and adjustments to individual encounters.
- As required, understands and is able to prepare the clinic day sheet for deposit and transaction posting.
- Processes credit balances and refunds as directed by department policy.
- Works with the Purchased and Referred Care department to maintain the correct IHS eligibility in the EPM.
- Understands diagnosis and charge coding sufficiently to recognize errors or inconsistencies when processing charges.
- Works as required with software and clearinghouse vendors to insure transmission of claims.
- Maintains a positive relationship with co-workers and clients.
- Works with staff and clients to resolve issues regarding insurance, billing and payments.
- Maintains reports as required to assist with departmental of clinic needs.
- Understands HIPAA regulations and all federal, state, and local governmental requirements regarding billing and complies with the contractual requirements of third party payers.
- Understands and is in compliance regarding the requirements of all grants and funding sources used by the clinic for clinical services.
- Participates in meetings, training and committees as required.
- Seeks training opportunities and maintains any certificates required to perform job duties.
- Keeps abreast of changes affecting the processes required to successfully manage the clinic A/R.
- Other duties as assigned.
- Understands the rules regarding confidentiality and follows those rules.
- Understands and follows clinic policies in all areas.