JOB TITLE: Billing Specialist

DEPARTMENT: Billing

FLSA: Full-Time; Hourly/Non-Exempt

DURATION: OPEN UNTIL FILLED

HIRING RANGE: $16.00/hour to $20.00/hour

Oversee the preparation and billing of all third-party claims to appropriate payers accurately within reimbursement guidelines.  Audit patient encounter forms, patient accounts, electronic billing reports and all HCFA forms to insure accuracy in coding and charges.  Process all payments received in a timely manner and document all receivable data for reporting purposes.  Update procedures based on frequently changing reimbursement guidelines and cross train in all duties with other billing staff.  Perform all billing functions on a monthly rotational schedule by facility.

1. Track and reconcile all denied claims on a daily basis with documentation on original denial form.
2. Promote the mission, vision, and values of the organization.
3. Assist staff with patient information, demographics, and historical data reports.
4. Provide accounting staff and others with data needed for general ledger balancing, cost analysis, government agency reporting, and corrections processed.
5. Update patient account with missing information needed to bill third parties.
6. Correspond with reimbursement agencies to verify paper and electronic submissions have been received.
7. Research and correct denials/rejections in a timely manner.
8. Initiate and follow up on appeals.
9. Analyze aged report and work accordingly to assure maximum reimbursement on submitted claims.
10. Other duties as assigned.

Must have certification in Billing and Coding; Must have a minimum of 2-3 years of Billing experience, preferable in a Federally Qualified Health Care (FQHC). Must be familiar with medical billing standard concepts, practices, terminology, and procedures.

Experience with Medicare, Medicaid and other third-party payors, handling appeals, denials and reconsiderations. Must be able to read and interpret documents; and be able to write routine reports and correspondence. Must be able to operate standard office equipment such as a fax, copier, calculator, and computer. Experience with E-clinical Works EHR is a plus.

OIC, Inc. is an equal opportunity employer.  OIC, Inc. offers equal opportunities to applicants and employees and makes all employment-related decisions based exclusively on job-related qualifications, without regard to characteristics such as race, color, national origin, religion, gender, age, marital status, disability, veteran status, citizenship status, sexual orientation, gender identity, political affiliation and/or any other status protected by law.

OIC, Inc. is committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling OIC, Inc.’s vision and goals.

https://www.econdev.org/ https://www.rockymountchamber.org/

Send Resumes to hrinfo@oicone.org