Job Title:

Medical Billing Specialist Reports to:

Billing Manager Job Purpose:

To gather, verify and input patient insurance information to properly bill and collect all charges incurred by all patients seen at HHMCFRC. Medical Billing Specialist/Medical Collectors Verify billing information for electronic claims transmission and hard copy billing (UBs-04 and

HCFA1500

forms) Responsible for the analysis of patient records and determining the legitimacy of treatment, diagnostic testing Process billing and follow-up for third party billing Review remittance advice forms to verify proper reimbursement and to adjust as necessary Post cash, charges, and denials Check to ensure that clinic records for patients include all information required for third party reimbursement Verify correct third-party coding to ensure prompt payment Process monthly A/R reports for management Organize third party correspondence and assist in completing necessary reports Deal with software vendor to troubleshoot simple software/billing problems Attend seminars in and out of town to keep up to date with policy changes Report to management on policy changes Consult with claims processors at third party payor companies regarding disputes/denied claims and follow up on all bills not processed within usual claim period Must work all assigned Work Queue daily Follow-up on patient balances to collect or set up on a payment plan

Job Requirements:

Knowledge of managed care contracts, legal requirements, and fee schedules may be required Must have knowledge of HMOs, PPO, Medicare, CPSP, FPACT, CHDP, CDP, BCCEDP, and Medicaid Knowledge of computerized billing is required Experience with either HCFAs or UBs Commercial and hospital experience is helpful Must possess knowledge of ICD-10, CPT, HCPCS and OP coding Medical terminology and an understanding of HIPPA privacy laws Must be certified or equivalent combination of education and/or experience to perform all required essential functions for this position Must have Epic billing knowledge Medical coding license preferred Bi-lingual preferred

Our EEO Statement:

Harmony Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Harmony Health complies with applicable state and local laws governing nondiscrimination in employment.

Job Type:

Full-time Pay:

$26.00 - $35.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Life insurance Paid time off Tuition reimbursement Vision insurance Ability to

Relocate:

Marysville, CA 95901: Relocate before starting work (Required)

Work Location:

In person