Billing Specialist

Are you in search of a fulfilling and meaningful position? Do you want to work for an organization that promotes growth and development?

Here at Men's Health Foundation we envision a world where inequity and stigma do not separate people from healthcare.

"Reimagining Healthcare" is our commitment to affirming the unique experience of every patient. We prioritize our patients’ evolving needs and strive to help each patient feel comfortable, understood, and respected.

Why Men's Health Foundation?

Men's Health Foundation is seeking compassionate, mission-driven individuals. We believe that by reimagining how healthcare is delivered, we can help create greater health equity for those most at risk, breaking down barriers to care. We welcome all backgrounds, gender identities, and expressions.

We recognize our staff as the heart of our organization and seek to provide a generous and competitive benefits package to support our employee's well-being. We offer the following:

• Medical, Dental, Vision, Life and LTD insurance (may be eligible on the 1st of the month following date of hire)
• 12 Paid Holidays (including 1 mental health day)
• 401(k) Retirement plan (may be eligible for employer matching up to 4% following completion of 90th day of employment)
• Flexible Spending Account (FSA)
• 40 hours of sick pay (following completion of 90th day of employment)
• 120 hours of PTO accrued within the 1st year of employment

We seek team members who embrace and champion diversity, as our work within the LGBTQ+ community promotes positive sexuality and inclusivity. Candidates should be comfortable with exposure to imagery, events, and materials that reflect our culture of acceptance and expression, ensuring alignment with our values.

Billig Specialist Overview:

Reporting to the Revenue Cycle Manager, the Billing Specialist will process charges as part of the billing function within the organization's established policies. Performs billing functions for the various service components of the Clinics, assists other claims processors as needed; serves as back up for the Billing Manager and runs various financial reports as needed by the CFO. Consistently utilizes and facilitates effective strategies to communicate pertinent information in a timely manner. The Medical Biller works in a team-based model of care.

Essential Functions and Responsibilities

• Codes such items as invoices, vouchers, expense reports, check requests, etc., with correct codes conforming to standard procedures to ensure proper entry into Allscripts.
• Uses critical thinking skills to interpret information furnished in written, oral, diagram, or schedule form and to follow complex dental processes
• Makes sound decisions and sets goals based on available information and evaluates situations and requirements to plan and adjust work accordingly.
• Projects accurate future occurrences based on current or historic data.
• Strong math skills to add, subtract, multiply, and divide as well as work with fractions and percentages accurately.
• Handles all patient requests via phone or email.
• Prepares non-inventory purchase order requisitions.
• Investigates and resolves problems associated with the processing of charges.
• Prepares batch reconciliation reports.
• Assists with monthly status reports and monthly closings.
• Reconciles various accounts by identifying errors in posting or omissions by applying appropriate billing standards.

SYSTEMS PROCESSES:

• Ensures efficiency, accuracy, and accountability of information and data.
• Performs claims processing functions in a timely and accurate manner.
• Checks “superbills” for accuracy prior to entering them into the system.
• Reviews and, as necessary, corrects data entry and billing errors prior to transmission.
• Bills payment source(s) within 48 hours of the patient’s visit.
• Posts payment checks to appropriate accounts.
• Research payment denials and resubmit for payment as necessary.
• Checks count of “superbills” against daily log to ensure that every patient’s visit-related paperwork has been received, posted, and billed
• Prepares month-end reports.
• Looks up CPT and ICD-10 codes for accurate coding.
• Performs weekly transmission of claims.
• Updates daily error reports for clinic/nurse managers.

Qualifications

• Associate degree (A.A.) or equivalent from a two-year college or technical school;
• Two to three years’ related experience and/or training; or equivalent combination of education and experience.
• Proficient in MS Word and Excel Software and tech savvy.