Medical Billing Specialist I (Full-Time)

About the role

You’ll play a vital role at the heart of our healthcare operations, transforming complex billing processes into seamless, accurate submissions that keep everything running smoothly. You’ll be the expert ensuring claims are processed on time, tackling rejections and denials with precision, and driving the financial health of the organization forward.

Responsibilities

• Verify charges, procedure codes, and diagnosis codes, utilizing appropriate modifiers and diagnosis digits.
• Prepare and submit billing to the correct payers on a weekly or monthly basis within specified timelines.
• Review and appeal unpaid claims to resolve payment discrepancies to ensure accurate and timely reimbursement.
• Generate monthly invoices for families and conduct various collection actions, including contacting patients and third-party payers.
• Ensure patient demographics and insurance information are accurately entered into the system.
• Adhere to HIPAA regulations and maintain patient confidentiality.
• Communicate effectively with patients, insurance providers, internal and external teams to identify and resolve billing issues or concerns.
• Report trends or issues related to billing and/or reimbursement to leadership.
• Act as a knowledgeable resource for patients, families, providers, and payers regarding patient accounts and applicable regulations.
• Provide phone coverage to address patient inquiries and complete payment transactions over the phone.

Requirements

• Associate degree in accounting, Business Management, or Healthcare related field, preferred
• One year of medical billing experience, understanding of medical terminology and coding, preferred
• Proficient use of Microsoft applications, including Outlook, Word and Excel
• Strong attention to detail

Qualifications

• Ability to exercise confidentiality regarding the affairs of clients, staff, their families, and ChildServe business.
• Ability to maintain positive working relationships and demonstrate sensitivity to, and respect for, a diverse population.
• Ability to communicate effectively in reading, writing, and speaking the English language.

Skills

• Quality Assurance
• Collaboration and Communication

Benefits

• Comprehensive Health Coverage – Medical, dental, and vision insurance
• 403(b) retirement plan with up to an employer match
• Onsite cafeteria with free fountain drinks and low-priced meals!

Pay

Commensurate with experience

Schedule

General business hours, M – F, 40 hours per week, based out of our Johnston location. Hybrid work is an option once trained.