MEDICAL BILLING SPECIALIST

Salina Regional Health Center

MEDICAL BILLING SPECIALIST

POSITION SUMMARY
Performs all aspects of billing for professional services.  Complete or initiates original billing for one or more pay classes including follow up on bills with insurance companies.  Utilizes resources available including websites to ensure full compliance of federal Medicare and Medicaid law and regulation provision, and in keeping with the health center mission.

POPULATION SERVED: n/a
OSHA CATEGORY III

ESSENTIAL JOB FUNCTIONS

QUALITY
Demonstrates knowledge of current and new regulations governing insurers, both private and government.
Provides exceptional customer service to clinics and staff as evidenced by feedback from those clinics and staff.
Patient financial information is collected and verified.

ACCESS
Claims are completed and submitted within the established time frames.

STEWARDSHIP
Meets established targets for accurate payment and/or claim denials.
Meets established targets on number of days in accounts receivable.

ORGANIZATIONAL VALUES

PATIENT CENTERED
Keeps the welfare of the patient at the center of all decisions and actions by maintaining a customer-centered focus at all times.
Advocates for patients and their families by practicing behaviors that create a culture of patient focused activity.

QUALITY
Expects excellence of self and others.
Questions the status quo; uses creativity and innovation to engage in performance and process improvement.
Identifies and mitigates risk.

TRUST
Safeguards the privacy, security, and confidentiality of protected health information at all times.
Treats all people with dignity; supports diversity; and understands related issues.
Is flexible and adaptable to change; demonstrates a positive and supportive attitude; and willingly accepts change.

SUSTAINABILITY
Holds self and others accountable in the use of SRHC supplies, and completion of tasks in a timely, efficient, and productive manner.
Volunteers for or accepts new or additional duties/responsibilities for the greater good of the department, organization, and/or patient.

POSITION QUALIFICATIONS

MINIMUM EDUCATION
None

MINIMUM EXPERIENCE
Two years clerical/bookkeeping experience; or
Successful participant of SRHC Medical Billing Intership Program

REQUIRED REGISTRATION/LICENSE/CERTIFICATION
Applicable Resuscitation and other position-related certifications must be obtained within the timeframe established by SRHC policy.

PHYSICAL DEMANDS
Lifts, positions, pushes and/or transfers up to 10 pounds
Primarily sedentary work
Manual dexterity and mobility
Near acuity: ability to see clearly at 20 inches or less

WORKING CONDITIONS
Exposed to hazards from electrical/mechanical/power equipment
Subject to many interruptions; pressure due to multiple calls, inquires, and/or deadlines

EMPLOYEE ACKNOWLEDGEMENT

In signing the job description, I attest that I will adhere to Salina Regional Health Center’s policies, procedures, and regulatory standards, including but not limited to complying fully with the Corporate Compliance Program and Code of Ethical Conduct; and participating actively in the Quality Assessment and Performance Improvement Plan, including identifying and mitigating risk to patients.

I acknowledge that I have read, understand, and accept the qualifications, responsibilities, and performance expectations outlined in the job description.  I recognize that these duties form the basis for my performance evaluations, and that management reserves the right to assign additional tasks or change existing essential job functions as operational needs dictate.  I confirm that I am able to perform the essential functions of this position with or without reasonable accommodation.