Medical Billing Specialist

Introduction

United Family Medicine (UFM) is a Federally-Qualified Health Center in St. Paul, where patients receive community-based Family Practice medical care in addition to mental health, dentistry, social work and other integrated services. When joining UFM, you become part of a diverse, inclusive, and welcoming team who are dedicated to serving our patients and pursuing our mission to deliver excellent healthcare for all and training for the providers of tomorrow.

United Family Medicine is seeking a bilingual (Spanish/English) full-time Medical Billing Specialist to manage the claims process, including accurate and timely claim creation, follow-up and correspondence with providers and insurance inquiries/correspondence. This position is responsible for assisting in the clarification and development of process improvements and inquiries and assuring payments related to patient services from all sources are recorded and reconciled timely in order to maximize revenues.

This is a hybrid position, with the ability to work partially from home.

ESSENTIAL FUNCTIONS:

Administrative Duties:

• Prepare and submit clean claims to third-party payers either electronically or by paper.
• Coordinate the process of patient eligibility through various third-party sources.
• Maintain assigned Work Queues (WQ)
• Denial and insurance follow-up management.
• Issue adjusted, corrected, and/or rebilled claims to third-party payers.
• Send letters to patients regarding workers' compensation (WC) and motor vehicle accidents (MVA).
• Collect/add information for workers' compensation and motor vehicle claims.
• Assist in setting up payment plans with patients.
• Request insurance and patient refunds.
• Maintain the strictest confidentiality; adheres to all HIPAA guidelines/regulations.

Customer Service:

• Answer phone calls from patients and insurance companies.
• Return message left on the after-hours Business Office line.
• Explain benefits to patients.
• Respond to patient inquiries on why insurance did not pay.
• Correspond with and provide updates to insurances.
• Identify and resolve patient billing problems.
• Take patients' credit card payments over the phone.

Perform other tasks as assigned.

SUPERVISORY RESPONSIBILITIES:

None

KNOWLEDGE, SKILLS AND ABILITIES:

• Strong customer service skills.
• Excellent written and verbal communication abilities.
• Ability to work independently or on a team.
• Skill in identifying problems, problem solving and resolution.
• Ability to analyze patient accounts.
• Knowledge of basic accounting principles.
• Knowledge of medical billing/collection practices required.
• Knowledge of insurance requirements for third-party payers, Medicare and Medicaid.
• Demonstrate sound judgment and decision-making abilities.
• Ability to prepare and maintain detailed records, files, reports and other correspondence.
• Ability to establish and maintain effective communication.
• Ability to perform the job in accordance with United Family Medicine’s Standards of Business Conduct, which include compliance, ethics and integrity, confidentiality, protection of assets and avoidance of conflicts of interest and inappropriate business relationships. Specifically, work processes that involve billing/collections practices for avoiding activities that constitute fraud and abuse.
• Excellent time management skills with the ability to prioritize workflow and meet stringent deadlines.
• Basic computer skills.
• Strong keyboard skills.
• Bilingual-Spanish Preferred

EDUCATION/EXPERIENCE:

• High School Graduate or GED is required.
• Two years post-high school education or degree preferred.
• Four years of business office experience is required.
• Two years of third-party payer billing experience is preferred.

CERTIFICATES, LICENSES, REGISTRATIONS:

N/A

PHYSICAL DEMANDS:

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.

There are many benefits to joining our team but a few of the highlights include:

• Paid holidays.
• Generous PTO accrual with immediate access.
• 403 (b) retirement plan with the company match and 100% vested immediately.
• Benefits enrollment starts the first of the month after the hire date.
• Health insurance plan options and HSA plans with an employer contribution. Dental, vision, short-term disability, HSA, health care and dependent care FSA options.
• Employer-sponsored Life w/AD&D and Long term disability.

UFM is an equal opportunity employer.

Beginning January 4, 2022, all job offers are conditioned on the candidate being fully vaccinated against COVID-19 with a vaccine authorized for emergency use or FDA-approved. A person is only considered “fully vaccinated” two weeks after receiving a single J&J vaccine or a second Pfizer or Moderna vaccine shot.

In addition, job offers made during flu season are conditioned on the candidate receiving the annual flu vaccination before their start date.

Job Type: Full-time

Pay: $20.00 - $28.00 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift

COVID-19 considerations:
All UFM employees are required to be vaccinated for COVID-19.

Education:

• High school or equivalent (Required)

Experience:

• business office: 4 years (Required)
• third-party payer billing: 2 years (Preferred)
• medical billing / collection practices: 1 year (Required)

Language:

• Spanish (Preferred)

Work Location: One location