About this opportunity
The Wright Center Medical Group lists this Specialist, Billing opportunity in scranton, Pennsylvania. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Job Type
Full-time
Description
POSITION SUMMARY
The Billing Specialist is responsible for all aspects of billing inpatient and outpatient claims. The Billing Specialist, a key position in the Revenue Cycle, facilitates the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries and patients. The incumbent will assist in the clarification and development of process improvements and inquiries in order to maximize revenues.
Work is typically performed in an office environment, but this position has the option to work from home but may also be needed onsite for projects or team meetings from time to time. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements for this job description are not intended to be all inclusive. They represent typical elements considered necessary to successfully perform the job.
Requirements
ESSENTIAL JOB DUTIES and FUNCTIONS
While living and demonstrating our Core Values, the Billing Specialist will:
Perform and monitor all steps in the billing processes to ensure maximum reimbursement from patients, government and commercial payers as well as from special billing arrangements
Prepare and submit clean claims to third party payers either electronically or by paper
Follow billing guidelines and legal requirements to ensure compliance with federal and state regulations
Respond to account inquiries from patients, payers, providers, and/or other staff as requested
Identify and resolve patient/insurance billing issues
Work closely with team members regarding claim appeals, denials, resolution, and education
Understand Medicare, Medicaid and other commercial payer rules and regulations applicable to billing. Update providers, learners, office staff, clinics, and faculty of changes as appropriate
Responsible for contributing to the areas for coding, billing, and documentation education that is being reviewed for all providers and residents, related to billing coding and errors.
Responsible for contributing to new learner education related to billing and collections
Understand the considerations of coding in Value Based payment contracts
Responsible for reviewing and implementing changes from payer bulletins
Use online healthcare databases and other resources for verification and claim status
Deliver the highest quality service to internal and external customers
Assist other members of the team with projects as needed
Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations
QUALIFICATIONS Meet The Wright Center for Community Health and its affiliated entity The Wright Center for Graduate Medical Education EOS© People Analyzer Tool
Buy in and experience working in the EOS® model (strongly preferred)
Mission-oriented; represents the enterprise in a professional manner while demonstrating organizational pride
Certified Biller
FQHC Billing
Notice of AI Use in Job Application Review
As part of our commitment in creating a fair, efficient, and consistent hiring process we may use artificial intelligence (AI) to help our recruiting teams organize, summarize, and analyze information provided by candidates, including resumes, application responses, and other materials submitted during the application process.AI may be used to identify patterns, highlight relevant skills, and experience, and assist in comparing a candidate's qualifications with the requirement of a specific role. These tools are to improve efficiency and consistency while supporting more informed hiring decisions, which will ultimately be made by the hiring team.
Worksite address
scranton, PA, 18512, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.