REVENUE SPECIALIST (HEALTH CARE BILLING SPECIALIST, IN PERSON) Job at Marimn Health, Plummer, ID

MlMvUWFYS1QydjNEV2ZBL3RydkFyc1YyaGc9PQ==
  • Marimn Health
  • Plummer, ID

Job Description

Come work for Marimn Health - voted one of the Best Places to Work in the Inland Northwest in 2018, 2019, 2020, 2021, 2022 AND 2023 and Modern Healthcare's Family Friendliest Employer in 2020!

Fantastic benefits, flexible schedules, paid holidays and ability to choose vacation times!

Your employer paid benefits include:

  • 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.

Please note that this position is in Plummer, ID. Carpool opportunities are available.

QUALIFICATIONS : A high school diploma or GED is required. Two years’ experience in a medical billing office required. This position requires a thorough understanding of medical billing, transaction processing, electronic claims transmission, charge and payment posting, claims denial resolution, governmental and private payer claims submission requirements, patient eligibility inquiry and financial reporting. Advanced courses in accounting and finance are desired. A minimum of one year prior experience working with a clinical electronic practice management and electronic health record system is required. Candidates must possess an understanding of all phases of the process of producing, transmitting and recording the financial portion for all clinical charges, payments and adjustments including Medical, Dental, and Behavioral Health. An understanding of grant reporting requirements desired. An understanding of FQHC/Tribal billing requirements desired.

ADA ESSENTIAL FUNCTIONS:

  • 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.

ESSENTIAL RESPONSIBILITIES:

  • 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.
PM22





PI9a8ff726ee92-30492-35768926

Job Tags

Holiday work, Temporary work, Local area, Flexible hours,

Similar Jobs

UCSB/HUMAN RESOURCES

Exhibitions and Events Manager Job at UCSB/HUMAN RESOURCES

Exhibitions and Events Manager Library University of California, Santa Barbara Summary of Job Details: Under general direction of the Communications and Marketing Manager, the Library Events Manager is an experienced professional res...

EVG Media

Freelance Designers, Editors, Translators & Writers Job at EVG Media

 ...is always interested in adding freelance designers, editors, translators and writers to our database. EVG seeks experienced individuals...  ...must have professional experience and provide a link to their online portfolios. EVGMedia is a content marketing agency in Greenville... 

Labor Rocket

MIG/TIG Welder Job at Labor Rocket

 ...Location: Brighton, MI. We are looking for Rework Welders who are looking to grow within a great organization at a long-term full-...  ...responsibilities will include examining parts, filling holes and gaps through Mig welding, performing sub-assembly and final assembly welding, and... 

Swing Education

High School Substitute Teacher Job at Swing Education

Step in for absent teachers with Swing Education Make a real impact in classrooms! Our substitute teaching roles give you the flexibility, support, and growth opportunities youre looking for. Requirements: Associate's or Bachelor's degree, or higher, unless holding...

Advanced Technology Services

Embedded Software Associate Job at Advanced Technology Services

Founded in 1985, ATS is a company with a presence in the United States, Mexico and the United Kingdom. We are professionals in Industrial Maintenance and we make factories run better. Fundada en 1985, ATS es una empresa con presencia en los Estados Unidos, Mxico y el Reino...