Medical Billing Specialist reviews and verifies medical bills and invoices with accounts receivable ledger and patients. Ensures record accuracy, follows up, and makes necessary revisions. Being a Medical Billing Specialist processes changes in information system to support accurate and efficient billing process and financial close. Follows proper medical and insurance claim processes. Additionally, Medical Billing Specialist typically requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Medical Billing Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Billing Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Candidate MUST reside in Boise or surrounding areas- This position is 100% remote.
No out of state candiates will be considered. In addition, candiate must have either Applied Behavior Analysis billing experience and/or Central Reach experience. `
Hours 9 AM OR 10 AM start time Monday- Friday (22.5 hr. per week)
-Must have at least 3 years of Medical Billing Experience.
· Assignments and tasks are completed on or before the deadline
· Medical billing inclusive of active collections
· Insurance Audits
.Credentialing
Basic Considerations
· On time for scheduled meetings, and other work-related appointments; notify in advance when planning to be late; follows Sunderlin’s cancellation policy
· Attire is appropriate for the assigned work and adheres to Sunderlin’s dress code policy
· Able to establish positive rapport with our clients, their families, fellow Sunderlin staff, and other personnel
· Adheres to Sunderlin’s policies for requests for time off
· Maintains professional boundaries
Communication
· Participates in team meetings (e.g., sharing impressions, review and/or comment on data, recommendations)
· Assertive and effective communication with families/clients/funding sources, admin team, etc.
· Follows up with client families regarding any billing questions, etc.
· Able to articulate Sunderlin policies, offerings, etc. clearly
· Ability to assess problematic situations by maintaining a neutral/unbiased approach
· Checks and responds to calls, texts and emails every 24 hours
· Resolving issues at the lowest level possible and according to the correct point of contact
· Expressive needs in clear and respectful manner
· Continues to attend to and assume responsibility for an issue until it is successfully resolved
· Maintains a good working relationship with parents, other members of the treatment team, other companies/callers
· Real-time reporting of billing status to Clinical Director and/or Director of Operations
Flexibility
· Copes with the stress of job responsibilities in adaptive and productive ways
· Able to adapt to changes in policies, procedures, intervention methods, and other performance expectations
Knowledge Base and Technical Skills
· Demonstrates effective knowledge of billing
· Seeks out additional training provided by Sunderlin or outside trainings that are required to promote your professional development
· Maintain documents and information with accuracy and confidentiality
· Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing
· Calling insurance companies regarding any discrepancy in payments if necessary
· Researching and appealing denied claims.
· Answering patient or insurance telephone inquiries pertaining to assigned accounts
Organization and Preparation
· Files and documents organized
Job Type: Part-time
Pay: $20.00 - $24.00 per hour
Benefits:
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Work Location: Hybrid remote in Boise, ID 83705
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