Medical Billing Specialist – Part Time Job Vacancy in El Paso County Colorado Springs, CO – Latest Jobs in Colorado Springs, CO

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Company Name : El Paso County
Location : Colorado Springs, CO
Position : Medical Billing Specialist – Part Time

Job Description : Essential Job Functions

Collects and enters medical claim information into electronic health record system modules. Follows up with insurance companies and patients to ensure correct and accurate payment of services. Tracks managed care authorizations and limits of coverage.

Creates insurance and patient aging reports using medical practice billing software, Excel, and PowerBI to identify unpaid insurance claims or patient accounts.
Responsible for timely and accurate insurance, lab, ad-hoc, and State reporting.
Updates and maintains patients’ Electronic Health Record; provides administrative support as needed.
Assists with enrolling new clients and verifying insurance coverage.
Obtains necessary pre-authorizations and ensures proper documentation and filing of authorizations.
Utilizes ICD 10 diagnosis and CPT treatment codes as well as traditional coding references.
Inputs information necessary for insurance claims and ensures claim information is complete and accurate. Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form.
Submits claims to all forms of insurance and follows up with insurance carriers on unpaid or rejected claims within required timeframes.
Leads the revenue cycle management process, including insurance verification, claims submission, claims management, and reporting.
Researches and resolves client billing problems or issues.
Documents payment records and issues as they occur. Posts payments within required timeframes and updates ledger in electronic health record.
Answers patient questions on patient responsible portions, copays, deductibles, write-off’s, etc. Resolves patient complaints or explains why certain services are not covered.
Processes and follows up on payer denials, consulting with the patient and/or his or her family as needed.
Follows up with insurance company on unpaid or rejected claims. Resolves issues and re-submits claims.
Prepares appeal letters to insurance carrier when not in agreement with claim denial. Collects necessary information to accompany appeal.
Prepares patient statements for charges not covered by insurance. Ensures statements are mailed on a regular basis as determined by the programs. Follows up on unpaid statements at regular intervals.
Works with patients and Financial Services Department to coordinate payments that patients file directly with their insurance company.
May work with patients to establish payment plan for past due accounts in accordance with provider policies. May perform “soft collections” for patient past due accounts.
Submits delinquent or past due accounts to a collections agency and provides necessary information to collection agencies for delinquent or past due accounts.
For patients with coverage by more than one insurer, prepares and submits secondary claims after processing by primary insurer.
Follows HIPAA guidelines in handling patient information.
Tracks managed care authorizations and limits to coverage.
Ensures all insurance and client payments are deposited into appropriate program accounts daily.
Participates in departmental emergency planning and response activities.
Promotes public health within the community.
Takes personal responsibility to provide exceptional customer service in order to promote and maintain a positive Public Health image, constructive working environment, and foster pride and professionalism in the workplace and community.
Performs other duties as required.

Qualifications

High school diploma or equivalent education required. Two (2) years education in a Medical Billing certificate program preferred.
Minimum two (2) years medical billing experience.
Familiarity with electronic health record and software systems necessary for billing, payment, and report management.
Experience logging and applying payments and the ability to conduct thorough Accounts Receivable follow-up.
Knowledgeable on insurance and reimbursement process.
Ability to read and understand explanation of benefits (EOB) statements.
Strong knowledge of medical ICD-10 codes and CPT medical billing codes.
Strong knowledge of insurance claims processing and claims resolution.
Familiarity with HIPAA privacy requirements for patient information. Ability to maintain the security of sensitive and confidential information.
Ability to work with a high level of detail. Skilled in writing and maintaining accurate records and reports to meet management objectives.
Excellent verbal and written communication skills; excellent telephone and customer service skills.
Ability to work independently and in a team environment.
Ability to assess situations and make prudent and appropriate decisions; ability to apply conflict resolution and problem-solving skills.
Ability to perform under pressure and when confronted with persons acting under stress.
Ability to work in a fast-paced environment, manage multiple tasks, reprioritize as work situations change, and meet all required deadlines.
Must possess the ability to use standard office equipment, including telephone, computer, fax machine, and copier. Proficiency in Microsoft Office, to include Word, Excel, and Outlook
Maintain regular and punctual attendance.
An equivalent combination of related education and experience may be substituted for the education and experience requirements above.
Must pass conditional post offer background investigation, motor vehicle record check, and drug screen.

Licenses/Certificates

Must possess and maintain a valid Colorado Driver’s License.

Work Conditions

Work is primarily performed in an office environment; some travel may be required. Public Health employees are responsible for providing proof of vaccinations and/or tuberculosis testing as applicable to the specific position and must provide proof of completion of required vaccinations/testing or proof of initiation within sixty (60) days of hire date. This is a part-time position regularly working up to 25 hours per week. This job announcement is not intended to be inclusive of all functions, responsibilities, and qualifications associated with the position; however, it is representative of the essential job functions and typical criteria considered necessary to successfully perform the position. Applications must be filed online; each applicant is considered only for the current vacancy stated on that particular application. It is the responsibility of the applicant to monitor any future openings and to submit a separate application for each position. Incomplete applications will not be considered. For inquiries, please call (719) 520-7486. Each new employee and rehire must provide documentation of authorization to work as required by the Immigration Reform and Control Act of 1986 (PL99-603). EL PASO COUNTY IS AN EQUAL OPPORTUNITY EMPLOYER

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