Medical Billing Specialist

Job Title:   Medical Billing Specialist

Location:   Winton Road Facility, Rochester, NY 14623

Pay Rate:   $20.00 - $23.00 per hour commensurate with experience

Employment:  Full-time 40-hour work week. Monday-Friday during business hours

Requirements:

1. High School graduate; some college coursework preferred.
2. Two years or more medical billing/coding experience in a physician/clinic/facility/hospital setting, with knowledge of Medicare, Medicaid, and commercial insurances.
3. Current knowledge of ICD-10 and CPT diagnostic coding classification systems.
4. Must have strong written and oral communication skills as well as the ability to maintain confidentiality and attention to detail.
5. Must possess organization skills intertwined with the ability to multi-task, work independently and provide effective problem resolution.
6. Must be computer literate, proficient in Word and Excel.
7. Medical Billing and/or Coding certification preferred.

Sumary/Objective:  The Medical Billing Specialist supports the Finance Department and is the primary person responsible for charge entry, billing, payment posting, and claim denial research and correction for Clinic Services.

Essential Functions

1. Imparts agency philosophy of “Equal Opportunity, Independence and Realization of Individual Potential” to children, families, program staff and community resources.
2. Maintains confidentiality of information relating to individuals and their families in accordance with agency policy.
3. Processes monthly billing and prepares for submission to appropriate insurance companies in a timely and accurate manner. (May include charge entry for Article 16 & Article 28 Clinical services)
4. Reviews remittances and post payments from insurance companies to appropriate claims. Generates monthly patient statements and processes their payments.
5. Investigates claim denials and re-submits for processing in accordance with applicable regulations and insurance company requirements.
6. Achieves program goals by performing additional duties at the discretion of the Clinic Billing Supervisor.
7. Participates in Finance Department meetings.
8. Participates in conferences, workshops and in-service training as needed or recommended to enhance job skills and personal growth and development.
9. Adheres to agency’s policies and procedures as well as department guidelines.

Competency Requirements

1. Ethical conduct.
2. Problem Solving/Analysis.
3. Communication proficiency.
4. Business Acumen
5. Organizational Skills
6. Client focus.
7. Time Management.

Supervisory Responsibility:  None.

Other Duties:  This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Work Environment:  This job operates in a professional office environment.  This role routinely uses standard office equipment.

Physical Demands:  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. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to sit, stand; walk; use hands to finger, handle or feel; and reach with hands and arms.  The employee must frequently lift and/or move objects up to 10 pounds and occasionally lift and/or move objects up to 30 pounds.

Travel:  is primarily local during the business day, but employee may be expected to work at any of our partner agencies.

Our comprehensive benefit plan includes but is not limited to:

• Affordable Medical / Dental / Vision Insurance
• 17 days Paid Time Off (PTO)
• Paid Sick Time
• 8 Paid Holidays
• 403(b) and/or ROTH Retirement Plan with employer match
• Additional Insurance Offerings – Voluntary Short-Term Disability, Specified Disease Insurance w/ Cancer Rider, Accident Insurance, Identity Theft Protection
• Employer Paid Health Reimbursement Arrangement (high deductible medical plan)
• Employer paid Life Insurance, Short-term and Long-term Disability Insurance
• Tuition Reimbursement plus a 25% Tuition Discount for benefit-eligible Employees and Family Members at Roberts Wesleyan College

Apply:  https://recruiting.myapps.paychex.com/appone/MainInfoReq.asp?R_ID=6210644

EEO Statement:  The agencies are equal opportunity employers. We do not discriminate against employees or applicants in the hiring, promotion, compensation, placement, termination, layoff, recall, transfer, leaves of absence or any other term or condition of employment on the basis of race, color, religion, sex, sexual orientation, gender orientation/identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran, domestic violence victim status, prior arrest and conviction records or any other protected category in accordance with applicable federal, state and local laws.