JOB SUMMARY
The Professional Billing Specialist performs all back end processes of the professional billing revenue cycle including charge capture, ICD, CPT & HCPCS coding, claims follow up and appeals, and customer service.
Additional responsibilities Include, but not limited to:
- Routine billing, payment posting and problem solving for various payers.
- Maintain relationship with insurance companies so as to be aware of or to anticipate trends.
- Must possess outstanding attention to detail, excellent time management skills, strong organizational and excellent customer service skills
- Possess ability to work independently in a fast paced environment and meet deadlines.
- Working knowledge of full range of physician practice financial and clinical operations as relates to professional billing revenue cycle.
- Knowledge of medical terminology and medical coding functions.
- Strong knowledge of billing and coding requirements for Medicare, Medicaid, Rural Health, Behavioral Health, Physical Therapy, Primary Care, Hospital Outpatient and other specialty.
JOB DETAILS AND REQUIREMENTS
Type: Full Time (80 hours per 2 week pay period, with benefits)
Typical hours for this position: Monday-Friday, days, may work an occasional weekend
Remote work
Will ONLY consider candidates from the following states: MO, IL, TN, AR, GA
Education:
High school graduate or equivalent required
Certification & Licensures:
-1 year experience in the healthcare or accounting setting, or
- Applicant has successfully completed medical coding and/or billing course(s)
Experience:
- 3-5 year related experience (healthcare or accounting) preferred
- 1-3 years direct experience involving claims, insurance, or patient accounting preferred
ADDITIONAL INFORMATION
Saint Francis Healthcare System provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, or genetics. In addition to federal law requirements, Saint Francis Healthcare System complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
In compliance with the ADA Amendments Act (ADAAA) should you have a disability and would like to request an accommodation in order to apply for a currently open position with Saint Francis Healthcare System, please call 573-331-5152 or email us at [email protected].
Saint Francis Healthcare System supports the overall health and wellness of our colleagues by discouraging the use of tobacco and nicotine products. If you are selected for a career opportunity with our organization, and are a tobacco or nicotine user, you will be required to complete a tobacco/nicotine cessation program within your first year of employment. This program is free of charge as part of our Employee Assistance Program.