Medical Billing Specialist

Medical Billing Specialist

Bayless Integrated Healthcare is committed to improving lives and transforming healthcare.  We utilize our Core Values as the foundation for all we do:

Compassionate:  Compassion is the humane quality of understanding the needs of others, and wanting to do something about it.  We show kindness and a willingness to help others.  We always provide care for our colleagues, our patients and our community.

Adaptable: The ability of our team to adapt to different environments, conditions and changes is imperative to deliver high quality care.  Adaptable people are open to others while realizing the impact of their own words, tone and body language on others.

Innovative: Our team must have creative and critical thinking in order to introduce new ideas.  Our commitment is creating a comprehensive healthcare delivery system like nothing done, experienced or created before.

Reliable:  As a patient and community centric organization, being reliable is of the utmost importance.  In order to achieve results, we must have a team comprised of consistent and trustworthy individuals that can be counted on to follow through.

Relentless:  We have an unwavering commitment to improve the healthcare system, disrupt the status quo, and create a better community.  We are driven individuals that exemplify intensity and the pursuit of excellence.  A strong work ethic and enthusiasm are necessary in order to help our patients, improve our community, and accomplish our goals.

POSITION SUMMARY: The billing specialist’s job description involves computing balances, recording billing payments and compiling account statements for a company.  He/she can also be responsible for preparing invoices for the delivery of services rendered. Other duties they may perform include calculating penalties, interest and late fees for clients who are past due on their payment and accounts.

Primary Job Responsibilities:

• Work with Call Center and front desk staff to verify proper insurance coverage
• Make calls to patients to facilitate collectability and resolve insurance issues
• Receive patient calls regarding billing questions and resolve disputes
• Submit past-due unresponsive patient balances to collection agency
• Review Explanation of Benefits (EOB) for patterns of rejected claims
• Scan paper EOB results into Electronic Health Record (EHR)
• Work with outside billing agencies to resolve billing issues
• Record patient payment into EHR
• Post patient and insurance payments to the accounting system
• Other duties assigned as needed

QUALIFICATIONS

 Education, Certification, and Experience Requirements

• Associate’s degree required, or combination of equivalent education and experience. Bachelor’s degree in a related field preferred
• Minimum of two years’ medical billing experience in an EHR environment preferred
• Knowledge of HIPPA requirements related to medical records and billing
• Exceptional communication and time management skills
• Experience with EHR systems preferred
• Requires exceptional attention to detail
• Demonstrated ability to work independently