Billing Specialist

Full Time
Klamath Falls, OR 97601
Posted
Job description

Position: Billing Specialist

Salary Range: $

Status: Non-Exempt

Reports to: Billing Supervisor

Location: Klamath Open Door

The Billing Specialist is responsible for accounts receivable, posting payments, claims processing, scheduling and collection of patient and insurance payments. The Billing Specialist performs account audits whenever necessary to ascertain correctness of account balances.

Key Responsibilities

  • Assist in collections and accounts receivable by reviewing transactions in Greenway
  • Assist in coding with appropriate diagnosis and procedure codes using ICD-9 and CPT codebooks. Process Commercial and DMAP claims.
  • Assist in billing of all Commercial Insurances, Medicare, OHP (DMAP, Cascade Health Alliance), Workman’s Compensation, Personal Injury, etc. Print and review for accuracy all weekly charges to the above insurance carriers making sure all documentation is appropriate for fast and correct reimbursement.
  • Pull chart notes for billing with claims that require chart notes for reimbursement. Call insurance companies and OHP to ascertain benefit coverage and dates. Bill secondary insurance as needed. Read all insurance updates for changes in billing procedures and rules.
  • Assist in posting of all insurance and patient payments received in the clinic and in the mail. Resubmit for review all insurance rejections and perform follow up on any outstanding insurance balances. Collect patient co-payments and sliding fee scale payments. Evaluate all customer complaints and implement appropriate corrections under the direction of the Billing Manager.
  • Performs other duties as assigned.

Desired Knowledge, Skills, and Abilities:

  • High school diploma or general education degree; or three to six months’ related experience and/or training; or a combination of education and experience.
  • Knowledge of procedure codes and diagnosis (ICD-9 and CPT codes).
  • Knowledge of insurance billing procedures.
  • Possess the tact necessary to deal effectively with patients, physicians and co-workers.
  • Must have excellent verbal and written communication skills.
  • Accommodations
  • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to walk, talk, bend, lift, carry, write, and hear. The employee frequently is required to stand, walk, sit and use hands to finger, handle or feel. Specific vision abilities required by this job include close vision, distance vision, color vision, depth perception and ability to adjust focus.

Job Type: Full-time

Pay: From $17.00 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • Day shift
  • Monday to Friday

Education:

  • High school or equivalent (Preferred)

Experience:

  • Medical Billing: 1 year (Preferred)

Work Location: One location

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