BILLING SPECIALIST

Job Description

Job Description

JOB TITLE : Billing Specialist

DEPARTMENT : Billing

FLSA : Full-Time; Hourly/Non-Exempt

DURATION : OPEN UNTIL FILLED

This is an onsite position with the possibility of hybrid/remote opportunity in the future.

POSITION PURPOSE:

The Billing Specialist will prepare and perform the billing of all third-party claims to appropriate payers accurately within reimbursement guidelines. In this role, you will audit patient encounter forms, patient accounts, electronic billing reports, and all Health Care Financing Administration (HCFA) forms to ensure accuracy in coding and charges.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Track and reconcile all denied claims on a daily basis with documentation on the original denial form.
• Assist staff with patient information, demographics, and historical data reports.
• Provide accounting staff and others with data needed for general ledger balancing, cost analysis, government agency reporting, and corrections processed.
• Update patient account with missing information needed to bill third parties.
• Correspond with reimbursement agencies to verify paper and electronic submissions have been received.
• Research and correct denials/rejections in a timely manner.
• Analyze aged reports and work accordingly to ensure maximum reimbursement on submitted claims.

QUALIFICATIONS:

Minimum of 2-3 years of Billing experience (required), preferably in a Federally Qualified Health Care (FQHC). Must be familiar with medical billing standard concepts, practices, terminology, and procedures. Experience with Medicare, Medicaid, and other third-party payors, handling appeals, denials, and reconsiderations.

EDUCATION/CERTIFICATION: Certification in Billing and Coding (required)

HIRING RANGE : $18 to $22/hour

BENEFITS :

• Medical
• Dental
• Vision
• Parental Leave
• Tuition Reimbursement
• 403b Retirement
• Paid Time Off
• 10 Paid Holidays (including birthday)

EQUAL OPPORTUNITY EMPLOYER

OIC, Inc. is an equal-opportunity employer. OIC, Inc. offers equal opportunities to applicants and employees and makes all employment-related decisions based exclusively on job-related qualifications, without regard to characteristics such as race, color, national origin, religion, gender, age, marital status, disability, veteran status, citizenship status, sexual orientation, gender identity, political affiliation and/or any other status protected by law.

DIVERSITY STATEMENT

OIC, Inc. is committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients is essential to fulfilling OIC, Inc.’s vision and goals.

Due to the volume of applications received, please do not contact the OIC Human Resources Department to check the status of an application, as we will be unable to provide this information over the phone. All applicants will be reviewed and those deemed most qualified will be contacted for an interview.

Thank you for your interest in employment with OIC, Inc.