Summary:

Williams Family Medical is seeking a billing specialist to work both in-office and/or remotely after trained. Flexibility in routine schedule can be negotiated to create a win-win relationship. Experience in AthenaHealth is preferred, but not necessary for a strong independent self-learner. Position would assist in escalated issues with patients, guarantors and third parties on accounts to resolve any questions or concerns towards satisfying account balances with patient/third party liability. Help create worklists and reports to identify account resolution for Patient Accounting. All documentation and coordination with patients will be worked until determination of approval. Document all patient/ third party activity and communication in Athenahealth.

Job Qualifications:

Minimum high school graduate or equivalent required. Billing and Coding certificate preferred. Minimum of two years experience in healthcare billing and/or business office setting, preferably in primary care billing. Must be able to communicate with patients effectively while maintaining customer service expectations. Preferred experience in Athenahealth EMR systems. General PC knowledge in business setting is required. Must have professional oral and written communication skills. Job Duties and Responsibilities include, but not limited to: Timely and accurate posting, adjusting and reconciling of funds received via in-office payments, electronic funds transfers and mail with posting accuracy of 99% or greater. Forwards potential third party or patient refunds to the Manager/Physician based on credit balances created from payments and/or adjustments posted to patient's accounts. Responds to system or manual tasks in a timely manner. Prepares daily reconciliation of cash posting. Applies payroll deductions within 48 hours of receipt. Applies payments and adjustments not completed by electronic remittance posting. Prepares remote bank deposits and processes credit card transactions daily with 100% accuracy. Correctly identifies remittance codes and applies them to individual patient's accounts as received by insurance companies. Validate track and trend remittance codes for process improvement. Correctly identifies underpaid claims in accordance with hospital insurance contracts by applying underpayment codes correctly to patient's accounts, based off information received by insurance companies. Post insurance payments to the correct insurance plans as identified by hospital contracts. Updates patient accounts with corrected insurance plans. Track and trend insurance plan errors and forward to registration areas for improvement. Performs research related to unidentified payments received to determine the appropriate accounts for posting. Review and complete correspondence and faxes in a timely manner. Contributes to effective working relationships by demonstrating a positive and helpful attitude with co-workers. Processes third party and patient refunds in adherence with company policy. Researches credit balance accounts for possible refund or retraction. Reviews incoming refund requests, via mail or fax from insurance or audit companies, for validity and responds appropriately. Makes necessary adjustments, posting corrections or payment transfers Coordinates refunds/retractions with third party vendors working on behalf of Williams Family Medical and it's providers. Compose letters or faxes disputing refunds to insurance or audit companies. Call insurance companies to obtain additional information concerning the credit balance. Complete audits from insurance companies or internal compliance in a timely manner. Maintains privacy strictly adhering to HIPAA guidelines. Performs other duties as assigned.

Pay:

$19.00 - $23.00 per hour

Experience:

ICD-10: 1 year (Required)

Work Location:

Hybrid remote in Big Rapids, MI 49307