HOW TO APPLY:
Email cover letter/cover email, resume, and references to Kara Marceau at kmarceau @ bridgercare . org. Application will be considered through 12/15/2024.
Position Summary:
Supports medical coding, billing, and payment posting functions. The Medical Billing Specialist will stay current with correct billing coding initiatives. Interaction with patients and medical staff may be required to clarify billing and coding questions, and to provide educational support as needed. The Medical Billing Specialist is under the direct supervision of the Revenue Cycle Manager
Position Responsibilities:
Understand coding of clinic encounters:
Reviews diagnosis and procedure codes in a timely manner utilizing appropriate coding guidelines and entering charges into Bridgercare’s billing system.
Communicates with clinical staff to clarify diagnosis or procedures for appropriate code assignment when documentation is unclear.
Keep current with correct coding guidelines.
Bills claims to Medicaid, Medicare, third party carriers and private payers:
Verifies insurance and completes essential insurance fields to ensure submission of claims is complete and accurate.
Gathers relevant information prior to submitting claims.
Submits CMS-1500 claims electronically to clearinghouse and filing a paper claim when applicable.
Maintains and provides courteous relations with patients, insurance companies, adjustors, and staff.
Is familiar with compliance issues that are in direct relationship with job.
Files and follows up on insurance appeals:
Works to keep insurance A/R days to a minimum.
Reviews and investigates insurance denials for correction and resubmittal and works clearinghouse claims rejections.
Investigates aging claims unbilled and billed, calls insurance companies for status of claim.
Provides follow-up to Revenue Cycle Manager on insurance rejections and denials.
Supports in educating staff and serves as a resource to improve revenue cycle.
Investigates credit balances and processes patient or insurance refunds when appropriate.
Posts payment to accounts in a timely fashion.
Posts commercial insurance, Medicare and Medicaid electronic remittance advice, and any paper checks if received.
Posts adjustments to accounts such as PPO discounts, sliding fee discounts, refunds.
Posts payments from patients and clearly communicate with patients about fees, sliding scale, and payment arrangements.
Participates and contributes to billing office business operations.
Participates in staff meetings.
Assists in responding to patient inquiries.
Records correspondence from patients in EHR.
Other duties as assigned.
Skills and Attitudes:
1. Is committed to Title X program goals and philosophy.
2. Works effectively and sensitively with a diverse and limited resource population.
3. Works calmly and effectively under pressure.
4. Works in a team and shares responsibilities and duties.
5. Resolve interpersonal conflict in a straightforward and timely manner.
6. Sets priorities, is organized and a self-starter.
7. Is friendly, empathic and communicates clearly, orally and in writing.
8. Treats staff, patients and community members respectfully.
9. Efficiently navigates technology.
10. Preserves privacy and confidentiality.
11. Receives client complaints and assists in providing timely resolution.
12. Contributes to a positive functional workplace culture.
13. Practices and models Bridgercare's Group Norms:
Listen to understand rather than listening to speak.
Make the covert overt.
Practice genuine openness to differences of opinion. Make no assumption of intent.
Extend grace for mistakes and learning.
Speak directly from your own perspective.
Be open, not attached to outcome.
Ensure everyone has the information needed; ask questions if you feel uninformed.
Recognize power differentials exist.
Slow down. Stop when communication gets knotted up.
Qualifications:
Required:
Experience with ICD and CPT coding, insurance processing, medical terminology.
Proficiency in use of computers and accurate data-entry.
Experience in the use of MS Word and Excel.
Basic accounting.
Telephone etiquette and exceptional customer service.
Preferred:
Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Professional Biller (CPB), Certified Coding Specialist (CCS), or other AHIMA and AAPC recognized coding credentials.
Experience working in sliding fee scale healthcare billing systems.
Experience with Electronic Health Records.
Equal Employment Opportunity has been, and will continue to be, a fundamental principle at Bridgercare. Employment is based on personal capabilities and qualifications without discrimination because of race, color, national origin, religion, creed, sex, age, physical or mental disability, marital status, genetic information, political beliefs, sexual orientation, gender identity or any other protected characteristic as established by law.
If you require specialized accommodations (due to a disability, religious belief/practice, etc.) a reasonable accommodation will be made unless it creates an undue hardship for Bridgercare. A reasonable accommodation does not mean the elimination of an essential function of the job. Employees with access to information about reasonable accommodations shall maintain the confidentiality of the information to the extent reasonably possible and shall not release the information to anyone who does not have the right or need to know.
People of color and LGBTQ+ individuals are strongly encouraged to apply.
You can find this full description at www.bridgercare.org/work-here.
