MEDICAL BILLING SPECIALST (Community Family Clinic) Idaho Falls

div h4Job Details/h4 divstrongLevel/strong: nbsp;nbsp;nbsp;Experienced/div divstrongJob Location/strong: nbsp;nbsp;nbsp;CLINIC IDAHO FALLS - IDAHO FALLS, ID/div divstrongPosition Type/strong: nbsp;nbsp;nbsp;Full Time/div divstrongEducation Level/strong: nbsp;nbsp;nbsp;High School / GED/div divstrongSalary Range/strong: nbsp;nbsp;nbsp;$20.90 - $20.90 Salary/div divstrongTravel Percentage/strong: nbsp;nbsp;nbsp;Up to 25%/div divstrongJob Shift/strong: nbsp;nbsp;nbsp;Day/div divstrongJob Category/strong: nbsp;nbsp;nbsp;Finance/div /div h4Description/h4pspan style="font-family:Arial,Helvetica,sans-serif"Status: Exempt / Salarynbsp; nbsp; nbsp; nbsp; Regular Full Timenbsp; nbsp; nbsp; Reports to: Clinic Administratornbsp;/span/p pstrongspan style="font-family:Arial,Helvetica,sans-serif"Essential Duties and Responsibilities (This is not an exhaustive list of all duties/responsibilities. Other duties may be assigned)/span/strong/p ul lispan style="font-family:Arial,Helvetica,sans-serif"Verify that claims are submitted with zero errors/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Prepare claims for mailing when necessary/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Timely follow up on insurance claim denials, exceptions or exclusions/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Verify completeness and accuracy of coding prior to submission to Athena/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Monitor and post as needed, payments received from insurance, Medicare, Medicaid, patients, etc. daily to ensure proper credit and accounting/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Utilize monthly aging A/R reports to follow up on unpaid claims aged over 30 days/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Perform A/R audits/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Maintain A/R filing system/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Respond to inquiries from insurance companies, patients and providers regarding coding and billing/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Oversee the operations of the billing department/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Read and interpret insurance Explanation of Benefits (EOB)/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Keep track of Pamp;P patients, create the monthly invoice to submit in a timely manner/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Check Quest Lab monthly invoice for patient payments, if payments not received enter charges/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Timely communication to the Officer Manager regarding trends with payors/front desk and other issues that are potentially disruptive to cash flow/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Review credit balances and act in a timely fashion/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Verify patient statements have been sent out timely/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Ensure aged patient balances, over 90 days, are reviewed and sent to collections as needed/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Follow up with collection agency as needed/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Follow-up on any missing claims/billing/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Collect provider/patient information for appeals/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Run operational/financial and quarterly Medicare reports/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Negotiate and monitor payer contracts/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Oversee refunds and credit balances/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Handle any payment arrangements/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Assist with Provider credentialing/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Work in collaboration with Accounting on pertinent issues affecting revenue/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Review records to ensure proper coding based on guidelines and conventions/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Ability to multi-task, manage time, meet deadlines and remain calm and professional under pressure /span/li lispan style="font-family:Arial,Helvetica,sans-serif"Establish and maintain effective working relationships with staff, patients, organizations, insurances/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Remain current on trends/changes in the laws and regulations governing medical record coding, and documentation/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Maintain standards of confidentiality of CC Idaho clients and records/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Maintain strict confidentiality and compliance with HIPAA standards and other grant requirements/span/li lispan style="font-family:Arial,Helvetica,sans-serif"Perform all work duties and activities in compliance with CC Idaho, Joint Commission, OSHA and HIPAA regulations/span/li /ul h4Qualifications/Benefits /h4brpspan style="color:#c0392b"span style="font-family:Arial,Helvetica,sans-serif"strongQualificationsnbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp; /strong/span/span/p pspan style="color:#c0392b"span style="font-family:Arial,Helvetica,sans-serif"strongRequired /strong/span/span/p ul lispan style="color:#c0392b"span style="font-family:Arial,Helvetica,sans-serif"High School Diploma or GED/span/span/li lispan style="color:#c0392b"span style="font-family:Arial,Helvetica,sans-serif"One-year experience in medical billing/span/span/li lispan style="color:#c0392b"span style="font-family:Arial,Helvetica,sans-serif"Working knowledge of CPT and ICD10 codes and medical terminology/span/span/li lispan style="color:#c0392b"span style="font-family:Arial,Helvetica,sans-serif"Current driver#39;s license and proof of auto insurance /span/span/li lispan style="color:#c0392b"span style="font-family:Arial,Helvetica,sans-serif"Must pass a background check/span/span/li lispan style="color:#c0392b"span style="font-family:Arial,Helvetica,sans-serif"Ability to operate standard office equipment and be proficient in Microsoft Office applications/span/span/li lispan style="color:#c0392b"span style="font-family:Arial,Helvetica,sans-serif"Evidence of no communicable disease/span/span/li /ul pnbsp;/p pspan style="color:#c0392b"span style="font-family:Arial,Helvetica,sans-serif"strongPreferred/strong/span/span/p pspan style="color:#c0392b"span style="font-family:Arial,Helvetica,sans-serif"Certified Professional Coder (CPC) certification/span/span/p pspan style="color:#c0392b"span style="font-family:Arial,Helvetica,sans-serif"nbsp;Ability to read, speak, and write in both English/Spanish in a business setting/span/span/p pnbsp;/p pspan style="color:#27ae60"span style="font-family:Arial,Helvetica,sans-serif"strongRequired Physical Demands /strong/span/span/p ul lispan style="color:#27ae60"span style="font-family:Arial,Helvetica,sans-serif"Is frequently required to stand; walk; climb or balance, sit, stoop, kneel, crouch, or crawl; reach with hands and arms/span/span/li lispan style="color:#27ae60"span style="font-family:Arial,Helvetica,sans-serif"Frequently communicate by talking/hearing/span/span/li lispan style="color:#27ae60"span style="font-family:Arial,Helvetica,sans-serif"Must be able to lift and/or move up to 20 pounds/span/span/li /ul pspan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"strongBENEFITS/strong/span/span/p pspan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"ldquo;CCI is a strong, non-profit agency to work with. They respect work-life balance and allow for flexibility when it is needed. Excellent premiums on benefits packages. Good working environment with opportunities for advancement.quot;/span/span/span/p pspan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"strongemspan style="background-color:#ffffff"For detail Benefit plan please visit:nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp; https://communitycouncilofidaho.org/apply-today//span/em/strong/span/span/p pspan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"strongspan style="background-color:#ffffff"Health Benefits/span/strong/span/span/p ul lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"Medical benefits/span/span/span/li lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"Dental benefits/span/span/span/li lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"Vision benefits/span/span/span/li /ul pspan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"strongspan style="background-color:#ffffff"Financial Well-Being/span/strong/span/span/p ul lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"Basic Life Insurance with Accidental death amp; dismemberment/span/span/span/li lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"Supplemental Voluntary Life /span/span/span/li lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"Long- and Short-Term Disability/span/span/span/li lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"Flexible Spending Accounts (Medical amp; Dependent Care)/span/span/span/li lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"401K /span/span/span/li lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"Voluntary Benefit Options/span/span/span/li lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"Accident Insurance/span/span/span/li lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"Critical Illness/span/span/span/li lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"Legal Ease/span/span/span/li lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"Norton Life Lock/span/span/span/li /ul pspan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"strongspan style="background-color:#ffffff"Work/Life Balance (Regular Full Time)/span/strong/span/span/p ul lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"Generous Paid Time Off Policy (PTO)/span/span/span ul style="list-style-type:circle" lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"First year of service ndash; 20 days/span/span/span/li lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"After five years of service ndash; 25 days/span/span/span/li lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"After ten years of service ndash; 30 days/span/span/span/li lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"After twenty years of service ndash; 35 days/span/span/span/li lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"After thirty years of service ndash; 40 days/span/span/span/li /ul /li lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"Twelve Paid Holidays /span/span/span/li lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"Employee Assistance Program (EAP)/span/span/span ul style="list-style-type:circle" lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"10 free sessions per each topic/situation/span/span/span/li lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"Assists employees with personal problems and/or work-related problems that may impact their job performance, health, mental and emotional well-being/span/span/span/li /ul /li /ul pspan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"strongspan style="background-color:#ffffff"Educational leave/span/strong/span/span/p ul lispan style="color:#2980b9"span style="font-family:Arial,Helvetica,sans-serif"span style="background-color:#ffffff"Up to 5 hours per week to utilize towards education, upon approval and eligibility /span/span/span/li /ul