03/12/2019

Coding/Billing Specialist Position Type Full-Time/Regular

JOB SUMMARY Under the direction of the Business Office Manager, is responsible for assuring that out patient medical records are coded and abstracted according to established criteria utilizing available resources both automated and manual based on documentation in the medical record provided by the attending, consulting physicians and clinical information. Using the available automated systems, enters coded documentation in the medical records on a daily basis. Communicates with consultants, federal and state organizations to validate the coding process and assure compliance to prevent fraud and abuse related to coding and abstracting. Validates documentation and works with the physicians to assure proper coding and educates the medical staff regarding coding issues.

DUTIES AND RESPONSIBILITIES: Collector- additional duties include working and maintaining all patients accounts. Meet all collection activity schedules and goals. Audit EOBs to assure accuracy of reimbursement and proper adjustments. Cross training to all positions for coverage 1.Code diagnoses, procedures, complications and co-morbidities for out- patients accurately. 2.Code appropriately for ancillary services. 3.Demonstrates knowledge and remains current in regard to ICD''s current version, CPT codes, modifiers, APCs, and DRGs. 4.Remains current with the coding and processing of records to assure timely coding. 5.Assures that the proper documentation is available in the medical record prior to coding. Enters codes for each provider and assures that the record is complete to assure that it is accurately abstracted. Follows through to assure the coding is finalized and a claim has been generated. 6.Demonstrates expertise in the use of the automated systems and any other that may pertain to coding. 7.Maintains required certification and training in the area of coding and abstracting. 8.Interacts positively, friendly and professionally with physicians, patients/family, office staff, hospital staff, medically supply and drug company representatives, insurance companies, attorneys, worker''s compensation adjusters and others. 9.Identifies opportunities to teach co-workers, medical staff and professionals regarding the documentation of medical care which supports accurate coding. 10.Speaks clearly, concisely and with consideration and respect in a group or one-on-one. Articulates thoughts wells and has a good rapport with listeners. Communication is clear, concise and understandable. Presentation is always polite, considerate and patient. Listens well.

SKILLS AND ABILITIES: 1.Able to work independently and meet established deadlines. 2.Able to make sound reasonable decisions. 3.Highly organized. 4.Ability to concentrate on many detailed requests despite numerous interruptions and respond accordingly with an appropriate sense of urgency. 5.Demonstrates accountability, professionalism, openness, receptive to change, creativity and innovation. 6.Ability to identify and calmly handle inherently stressful situations with tact. 7.Excellent communication skills. 8.Ability to develop excellent working relationships with consumers, vendors and staff. 9.Seeks guidance, direction and assistance when needed. Required Skills

EDUCATION, TRAINING AND EXPERIENCE REQUIREMENTS: 1. 3 - 5 years in medical environment with experience coding in a ASC environment (including orthopedics, pain management, surgical (general, and gynecological), Gastroenterology. Certification required. (American Health Information Management Association (AHIMA), the American Academy of Professional Coders (AAPC). 2. 4 year degree in business or clinical area or equivalent work experience. 3. Computer literate. Experience and knowledge of Amkai and Microsoft Office product required. 4. Knowledge of medical terminology.

Please send cover letter and resume to tbrindley@glbsurgery.com

03/12/2019

Seeking experienced, detail-oriented medical biller *immediately* for part-time position.

Work in a small, rapidly-growing, family-owned business providing boutique services for medical providers.

Competitive pay.

Please forward resume to Shatha Uebler: shatha@betterwaybilling.com.

03/08/2019

Summary: Under general supervision, is responsible for accurate and timely billing of all charge sessions for physician professional services to all third party payers and patient self-pay accounts. This includes reviewing the charge sessions/encounters, entry of charges into the accounts receivable system, corrections to third party claims, as needed, to ensure timely reimbursement for physician professional fees. Performs follow-up on aged receivables to determine a cause of delayed payment and performs all necessary actions to resolve outstanding balance. Participates in quality assessment and continuous quality improvement activities. Complies with all appropriate safety and infection control standards. Performs all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior. Works under the supervision of a departmental director or designee who reviews work for accuracy and conformance to standard procedures.

Requirements: • Education equivalent to graduation from high school. • Six (6) months of experience in physician billing to third-party payers or successful completion of a medical insurance specialist certificate program from an accredited college or university including each of the following: CPT coding, ICD coding, medical terminology, and anatomy. • Knowledge of billing procedures for third-party payers. • Knowledge of medical terminology, procedure coding, diagnosis coding, and appropriate modifier usage. • Ability to type accurately on forms. • Ability to use 10 key adding machines, computer, calculator, and other standard office equipment. • Ability to communicate effectively both orally and in writing. • Ability to conform to departmental performance standards. • Ability to establish and maintain effective working relationships with physicians, superiors, co-workers, other Medical Center employees, patients, third-party payers, and the general public.  

Please send your resume into to kanders1@hurleymc.com

03/04/2019

Part-time medical biller wanted. Experience with KAREO EHR and practice management preferred but willing to train.

Send cover letter and resume to the attention of Gwen: Mays Clinic 4299 Lake Street #96 Bridgman, MI 4910 or email to info@maysclinic.org

02/27/2019

This is for a full-time (40 hrs/wk), first shift position working 8:00am to 5:00pm, Monday to Friday at our Cascade Township location in Grand Rapids, MI.

Please send resume to Careers@hopenetwork.org to the attention to Esmeralda Perry, Clinical/Professional Recruiter.

JOB OBJECTIVE SUMMARY: The Medical Billing Specialist a key associate at Hope Network whose primary responsibilities include: Provides billing and collection services. This position needs a working knowledge and experience billing Auto No-fault, BCBS, Commercial, Medicare/Medicaid, Workers Compensation, Private payers, and Community Mental Health payers.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: This is not intended to be an exhaustive listing of job functions. This job description in no way states or implies that these are the only duties to be performed by this employee. The employee is required to follow any other instructions and to perform any other duties as assigned.

1. Regular and predictable attendance is an essential requirement of this position.

2. Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.

3. Following up on unpaid claims within payer/funder billing cycle timeframe.

4. Review explanation of benefits for accuracy of payments,adjustments and patient responsibility.

5. Follow up with insurance companies/funding sources regarding any discrepancy in payments if necessary.

6. Identifying and billing secondary or tertiary insurances.

7. Researching and appealing denied claims.

8. Write up account adjustments for approval.

9. Ensure proper documentation is sent with each claim when required.

10. Utilize specific knowledge regarding billing and reimbursement guidelines to expedite payment for services.

11. Provide assistance to staff from all locations with billing and collections inquiries.

12. Utilize systems and procedures to organize the billing office for maximum efficiencies.

13. Works all outstanding accounts over 60 days old for collectability.

14. Complete all other designated projects relevant to the position description.

15. Escalate any billing, collection or system related issues with payer/funders to leadership.

16. Attend regular department/payer meetings.

17. Other duties, as required or assigned.

Educational / Talent Requirements:

1. High school diploma or equivalent is required.

2. Relevant certification preferred (CCS-P, CPC, CPB) or Associate’s degree in related area of study.

3. Demonstrated ability to communicate in both written and verbal format to meet position responsibilities.

4. Demonstrated ability to use word processing, spreadsheet and computerized billing programs including Word/Excel.

5. Data entry skills equivalent to typing skills at 40 words per minute.

6. Familiarity with other office equipment such as calculators, fax and photocopying equipment.

7. Ability to plan, organize and prioritize work on a daily basis.

8. Excellent written and verbal communication skills required.

9. Excellent organizational and interpersonal skills.

Work Experience Requirements:

1. 2 years relevant medical billing and collection experience.

2. Experience in collections, accounts receivable, data processing and business office procedures.

3. Demonstrated knowledge of medical billing and reimbursement.

4. Demonstrated knowledge in the accounts receivable monitoring process (aging of accounts 0-30, 30-60, 60-90 days).

5. Ability to interact effectively with individuals, employees, referral sources, vendors and other designated individuals.

6. Ability to travel to other Hope Network sites when needed and requested; valid driver’s license with acceptable driving record.

Performance Requirements:

1. Demonstrated ability to manage resources, make decisions and exercise good judgment.

2. Demonstrated ability to prioritize work based on the needs of the organization.

3. Demonstrated ability to monitor aging accounts, identifying accounts 60 + plus days and older, researching and identifying collectability issues.

4. Proven ability to meet departmental billing cycle requirements.

02/20/2019

Digestive Health Associates is hiring a full-time Billing Manager. We offer employees competitive wages, paid holidays, and paid time off. Employees can expect no night, weekend, or holiday shifts. In addition, full-time employees are also eligible for a generous 401k profit sharing plan. Please send resume to kariv@digesthealth.com 

GENERAL SUMMARY: The Billing Manager functions in a working Manager role to ensure timely and accurate charge entry and follow-up on unpaid claims and denials.  In addition to medical billing duties, patient A/R is included when working with established patient statement and collection companies.  This position is responsible for Managing a Team that consists of an A/R Specialist, Inpatient/Outpatient Billers, Prior Authorization obtainer, payment poster, and other Administrative duties. The Billing Manager reports to the Practice Administrator and Managing Physician Partners.

Education: Minimum: High School graduate. Working knowledge of medical terminology as well as procedural and diagnosis coding is required

Preferred: Higher education with a medical office or account focus. Certified Professional Coder (CPC), Certified Professional Biller (CPB) or Certified Revenue Cycle Specialist-Professional (CRCS-P) preferred

Work Experience: Minimum: One year of recent, relevant experience with accounts receivable follow-up and/or denials management experience.

Preferred: Two or more years of recent, relevant experience with accounts receivable follow-up and/or denials management experience; experience with working in eClinical Works.

Professional Skills:

Communication: Effective verbal and written skills, computer literate

Customer Service: Patient confidentiality, helpful, patience Organizational: Detail oriented, problem-solving abilities, efficient Team Leader Skills: Demonstrate the ability and willingness to work as an effective part of a team and to lead a team.

DUTIES AND RESPONSIBILITIES:

1. Account Follow-Up and Denials Management Skills Demonstrate ability to follow internal policies and procedures regarding follow-up timelines and methods, documentation standards and spreadsheet creation and maintenance as assigned Maintain a working knowledge of 835 and 277 rejection and denials reason codes (Remittance Advice Remark Codes (RARC) and Claim Adjustment Reason Codes (CARC)) along with payer specific adjustment and denial codes. Write and follow-up on appeal letters for denied claims referencing any applicable research, medical record documentation, medical policy and/or coding and billing rules Use payer websites, payer inquiry methods, payer representatives and other applicable payer specific methods to obtain prompt payment of claims and identification and resolution of any issues affecting prompt payment Use aging reports, work queues, tasks, ticklers and other follow-up techniques to ensure timely follow-up of unpaid claims and timely follow-up on claims that have been underpaid or denied Effectively manage accounts receivable within area of assignment
2. Administrative Skills Handle incoming and outgoing correspondence. Provide telephone support for patients and insurance carriers. Communicate with others on the team including cash posters and leadership regarding payers not meeting contractual obligations pertaining to timely payment, denials, and any trends or outliers noted Communicate with on-site clinic staff regarding medical documentation needs
3. Quality Management Adhere to corporate compliance and HIPAA standards and policies Use relevant knowledge of carrier issues, medical policies and billing standards to ensure accurate and timely payments (know when to question) Participate in peer review, quality management and outcome studies as assigned Follow standards, policies, and procedures to make appropriate adjustments
4. Facilities/Equipment Demonstrate working knowledge of equipment Coordinate with appropriate person for repairs or maintenance Follow established appropriate use standards
5. Self-improvement/Professional Activities Keep current on issues, practice patterns and trends in medical billing and those specific to pain management Attend continuing education specific to job duties Promote staff development activities and program goals and objectives 

PHYSICAL DEMANDS: Independently mobile to perform job tasks Approximately 99% of time sent sitting Moderate to heavy computer use Able to lift up to 30 pounds

WORKING CONDITIONS: Fast paced, demanding office environment Exposure to a variety of attitudes and personalities from patients and visitors Multiple interruptions

02/20/2019

Brighton Family Physicians is a primary care office with four doctors, we are a PCMH and a CPC+ track 1 practice.  

Position Includes:

• Full time
• Benefits

Requirements:

• 2 years experience
• Self-motivated, self-directed coder, work independently and as a team
• Must be versed in all aspects of billing, including charge entry, posting, and follow up.
• Must have EDI experience and be able to apply industry standards where needed
• Great communication skills, both written and verbal
• Must have working knowledge of Health measures and reporting codes
• Must be willing to work in reception when and where needed

Please send resume to nancybyrd61@yahoo.com 

02/04/2019

The Billing & Follow-Up Representative reviews, researches, and processes claims in accordance with contracts and policies to determine the extent of liability and entitlement, as well as to adjudicate claims as appropriate. The core responsibilities will include: coding and processing claim forms; reviewing claims for complete information, correcting and completing forms as needed; accessing information and translating data into information acceptable to the claims processing system; and preparing claims for return to provider/subscriber if additional information in needed. Additional follow-up responsibilities include: maintaining all appropriate claims files and following up on suspended claims; assisting, identifying, researching and resolving coordination of benefits, subrogation, and general inquiry issues, then communicating the results; and preparing formal history reviews.

ESSENTIAL FUNCTIONS: Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Submits 3rd party and patient claims (electronically or by hard copy), including the maintenance of bill holds and the correction of errors in an effort to provide timely, accurate billing services. Edits UB-04 (and where appropriate HCFA-1500) claim forms within the patient accounting system, using proper data element instructions for each payer, applying principles of coordination of benefits, and ensuring that correct ICD-10 diagnosis, HCPCS and CPT procedure codes are utilized. Ensures that claims are in accordance with regulations set forth by the state and federal governments, 3rd party payers, and Trinity Health guidelines. Performs all billing and follow-up functions, including the investigation of over-payments, underpayments, payment delays resulting from denied, rejected and/or pending claims, with the objective of appropriately maximizing reimbursement based upon services delivered and ensuring that the claim is paid/settled in the most timely manner. These functions will be in coordination with the Central Operations team, depending on threshold metrics defined by work queues for the Shared Service Centers and Central Operations. Utilizes available data and resources to make decisions regarding complexity of claim processing and payment propensity, and the appropriateness of transferring account to the Disputed Claims Management team, Collection vendor(s) or other resources for follow-up; Researches claim rejections, making corrections, taking corrective actions and/or referring claims to appropriate staff members for follow through to ensure timely claim resolutions; Proactively follows-up on delayed payments by contacting patients and 3rd party payers, and supplying additional data, as required; May perform financial counseling activities, including but not limited to:Seeks appropriate funding based upon patient requirements, collecting supporting documentation (payroll stubs, tax returns, credit history, etc.), as required. Provides information and education to the patient, family member and/or guarantor of the application/documentation process. In so doing, the incumbent will encourage patient participation in the funding process and will assist the patient in forwarding the required documentation and application to the appropriate funding agency: Counsels patient/guarantor on patient’s financial liability, third party payer requirements and outside financial resources, including private organizations and foundations, eligibility vendor(s), Medicaid, Medicare, Champus, and/or federal disability programs, etc.; Counsels patient/guarantor of payment plan options and establishes appropriate plan; ◦Investigates No Fault and Workers’ Compensation cases, retrieving police report and insurance information, as required; Assists patient/guarantor in completing a charity application, financial statement and/or payment contract when required according to hospital policies. Analyzes such applications along with income/resident documentation in order to advise the patient of available options. Initiates requests for charity write-off, when appropriate; ◦Analyzes financial and eligibility data, and length of disability to determine potential eligibility for federal, state, and/or county programs, completing the necessary documents within the time limits specified by the appropriate government agency; Determines and manages proper course of action for optimal reimbursement of healthcare charges (e.g., spend down eligibility, out-of-network, Cobra coverage, etc.); and Informs patient/guarantor of flat-rate and discount programs and assists patient in application process, ensuring that adjustments are requested and completed. Evaluates accounts, resubmits claims, and performs refunds, adjustments, write-offs and/or balance reversals, if charges were improperly billed or if payments were incorrect; and Updates and refiles claim forms in a timely, accurate manner. Responds to patient and 3rd party payer inquiries (telephone, fax, mail and web-based patient portal), complaints or issues regarding patient billing and collections, either responding directly or referring the problem to an appropriate resource for resolution. Communicates with physicians and their office staff, Patient Access, Medical Records/Health Information Management, Utilization Review/Case Management, Managed Care, Ancillary and Nursing staff, as required to clarify billing discrepancies, and obtain demographic, clinical, financial and insurance information. May prepare special reports as directed by the Manager to document billing and follow-up services (e.g., Number of claims and dollars billed, number of claims edited, number of claims unprocessed, etc.). May serve as relief support, if the work schedule or workload demands assistance to departmental personnel. May also be chosen to serve as a resource to train new employees. Cross- training in various functions is expected to assist in the smooth delivery of departmental services. Other duties as needed and assigned by the manager. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

MINIMUM QUALIFICATIONS: High school diploma or an equivalent combination of education and experience. Associate degree in accounting or business administration high desired. Data entry skills (50-60 keystrokes per minutes). Past work experience of at least one year within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing medical claims processing, financial counseling, financial clearance and/or customer service activities is required. Knowledge of insurance and governmental programs, regulations and billing processes (e.g., Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc.), managed care contracts and coordination of benefits is required. Working knowledge of medical terminology, anatomy and physiology, medical record coding (ICD-10, CPT, HCPCS), and basic computer skills are highly desirable. Excellent communication (verbal and writing) and organizational abilities. Interpersonal skills are necessary in dealing with internal and external customers. Accuracy, attentiveness to detail and time management skills are required. To successfully accomplish the essential job functions of this position, the incumbent will be required to work independently, read, write, and operate keyboard and telephone effectively. Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS: Must be able to set and organize own work priorities, and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Excellent problem solving skills are essential. This position requires the ability to comprehend and retain information that can be applied to work procedures to achieve appropriate service delivery. The greatest challenge in this position is to ensure that billing and follow-up activities are performed promptly and in an accurate manner to assist in order to reduce potential financial loss to the patient and the Ministry Organization. The incumbent must have a thorough knowledge of various insurance documentation requirements, the patient accounting system, and various data entry codes to ensure proper service documentation and billing of the patient's account. Position operates in an office environment. Work area is well-lit, temperature controlled and free from hazards. The incumbent is subject to eyestrain due to the many hours spent looking at a CRT screen. The noise level is low to moderate. Completion of regulatory/mandatory certifications and skills validation competencies preferred. Must possess the ability to comply with Trinity Health policies and procedures.

Trinity Health's Commitment to Diversity and Inclusion Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.

APPLY DIRECTLY: https://trinityhealth.wd1.myworkdayjobs.com/Jobs/job/SE-MI-PFS-Service-Ctr-Trinity-Health-Corporate---Farmington-Hills-Mi/Billing-and-Follow-Up-Representative_00104719-1

02/04/2019

POSITION PURPOSE: Responsible for learning and performing a variety of office/clerical tasks relating to the Patient Financial Services department including correspondence and customer service duties, billing procedures for Medicare, Medicaid, and other large contracted payers, and commercial follow up and insurance collections processes. The Patient Financial Services Trainee learning period is approximately six (6) months with the opportunity to evolve into a Patient Financial Services Representative I upon completion.

ESSENTIAL FUNCTIONS: Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Core Values, and Vision in behaviors, practices, policies, and decisions. Maintains compliance with HIPAA and other regulatory requirements throughout all activities. Protects the safety of patient information by verifying patient identity to preserve the integrity of the patient record and ensures all records are complete, accurate, and unique to one patient. Cross trains in various Patient Financial Services functions and independently assists in the timely delivery of department services including: following up on submitted Government and Commercial claims, sending bills to both Government and Commercial payers, and demonstrating exceptional customer service throughout all patient interactions consistent with the Trinity vision. Other duties as needed and assigned by the manager. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

MINIMUM QUALIFICATIONS: High school diploma or an equivalent combination of education and experience. Excellent communication, both verbal and writing, data entry skills, and organizational abilities. Superior interpersonal skills are necessary for interacting with customers and colleagues. Accuracy, attention to detail, ability to work independently, and good time management skills are required. Excellent problem solving skills are essential Completion of regulatory/mandatory certifications and skills validation competencies preferred. Must be comfortable working in a fast paced, results oriented, and collaborative, people-centered environment.

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS: Position operates in an office environment. Work area is well-lit and temperature controlled. Job function requires working at a computer. The noise level is low to moderate. Hearing is needed for extensive telephone and in person communications. Occupational exposure to blood or other potentially infectious materials may reasonably be anticipated in performing duties. Skin, eye, mucous membrane, and/or parenteral contact with blood or potentially infectious material are reasonably anticipated. Must be able to sit or stand for extended periods of time. Ability to work at a computer. Manual dexterity is needed in order to operate a keyboard. Must be able to set and organize work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in a fast-paced environment that is sometimes stressful with individuals that have diverse personalities and work styles. Ability to comprehend and retain information that can be applied to work procedures to achieve appropriate service delivery. Must possess the ability to comply with Trinity Health policies and procedures.

APPLY DIRECTLY: https://trinityhealth.wd1.myworkdayjobs.com/Jobs/job/Mercy-Health-West-Michigan-Administrative-Services/Patient-Financial-Services-Trainee_00113107-1

02/04/2019

Full-time position open with flexible work arrangements: Alliance Healthcare Solutions is interested in hearing from you if you are a Certified Professional Coder with 3 years coding, billing and account receivable experience.

Please send resume to: lori@alliancehealthcare-solutions.com