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Roosevelt General Hospital · 1 day ago

Billing Specialist

Portales, NM, US

Full-time

Onsite

New Grad, Entry Level

$16/hr - $24/hr

0+ years exp

Roosevelt General Hospital is committed to providing safe, quality care to patients. The Billing Specialist is responsible for handling all billing functions, assisting patients with inquiries, and maintaining communication with insurance companies to ensure accurate billing processes.

Health CareHospitalNon Profit

Responsibilities

Promote the mission, vision, and values of the organization

Responsible for all billing functions for assigned financial class(es)

Account checks

Must be worked daily

Tasks

Must have less than 5% overdue at month end

Denials

Must have less than 5% overdue at month end

Credit Balances

Must be addressed within 2 weeks of initiation by adjusting contractual allowances, submitting refund request, or submitting claim cancellation

Incomplete claims (FinThrive)

Must obtain necessary billing information to submit claim

Must be worked daily

Rejections (FinThrive)

Must be worked daily

Held Claims (FinThrive)

Must be updated every 2 weeks

Assist patients with billing inquiries to include explaining the charges, payments, insurance decisions, insurance coverage, coordination of benefits, or any other concerns they may have

Respond to voicemails within 24 business hours

Maintain active portal accounts to all assigned payors

Communicate directly with payor or provider representatives when recurrent issues arise

Release medical records upon request within 3 days of receipt

Follow up on any correspondence that may have been received weekly

Submit revised order requests for accounts that meet criteria

Participate in weekly billing huddles/discussions

Participates in data gathering for financial reporting

Cross train in other Billing Specialist positions to include different payers

Report frequent billing issues to Billing Lead/Director of Business Office to determine if permanent resolution is available through software systems

Performs other duties as assigned

Qualification

Medical billing knowledgeInsurance claims processingCPT / ICD codingCustomer service experienceMedical terminology knowledgeBasic computer knowledgeTyping speed 40 wpmPublic relations skillsPeople skillsCommunication skills

Required

High school graduate or equivalent

Six months previous hospital registration, billing and collections, financial counseling, and/or customer service experience required

Basic computer knowledge

Typing speed: minimum 40 wpm, computer knowledge

Knowledge of CPT / ICD- coding helpful

Knowledge of medical insurances (Medicare, HMO's, PPO's, commercial), EMTALA regulations, hospital billing and collection process

Must have an enthusiastic and positive attitude

Possess a genuine desire to help RGH become an exemplary hospital in the surrounding community and the state

Ability to work independently, exercise creativity, be attentive to detail, and maintain a positive attitude

Ability to manage multiple and simultaneous responsibilities and to prioritize duties/tasks

Ability to initiate communication with patients, their families and hospital visitors

Must have excellent customer service and communication skills with the ability to effectively calm patients and be able to deal with distressed and/or agitated patients and their families

Must have a professional demeanor and excellent public relations skills

Willingness to develop or improve public speaking skills

Must have excellent written skills with knowledge of medical terminology

Must be dependable and on time

Possess good 'people skills' for building relationships with colleagues at all levels

Ability to plan and prioritize workload to meet deadlines