Medical Billing Specialist II

BILLING SPECIALIST II

Salary $21.00 to $22.00
Full time and in-office
Benefits:

• 403(b)
• 403 (b) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance
• Flex Spending account
• Health Saving account
• Life Insurance
• Critical Illness, Short-term and long-term disability and accident insurances

Job Summary: Responsible for visit review, billing, payment posting and payroll functions.
Performance Expectations for All Employees:

1. Protects confidential information and understands responsibilities regarding the Health Insurance Portability and Accountability Act (HIPAA) and protected health information (PHI).
2. Complies with safety instructions, observes safe work practices, and provides input on safety issues and promotes a safe work environment.
3. Meets the agency’s expectations for exemplary customer service.
4. Pursues learning opportunities to enhance personal and professional capabilities.
5. Adheres to all agency policies and procedures.
6. Complies with all local, state, and federal laws and regulations.
7. Attends required meetings.

Essential Functions:

1. Audit and prepare Home Health and Clinic therapy visits for billing.
2. Billing of Home Health or Clinic Therapy visits both primary and secondary claims.
3. Accounts Receivable claim corrections, review and rebilling of any unpaid claims.
4. Prep, calculate and prepare payroll timesheets for an assigned portion of employees.
5. Post payments into medical billing system based on EOBs received for all lines of business.
6. Serve as backup to process and maintain all Prior Authorization Requests for agency services.
7. Processing Prior Authorization.
8. In rotation for Finance Departments after hours on call scheduling.
9. Provide backup support to others in the Financial Services Department.
10. Performs other related job duties as required.

Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Minimum Education: High school diploma or equivalent required. Additional related vocational coursework is preferred.
Minimum Experience: Three years of work-related experience in a similar environment.
Minimum Knowledge/Skills/Abilities:

Physical/Mental Demands: