Billing & Coding Specialist - FT

Electra Hospital District; Electra (TX); On-site; USD 25,000 - 39,000; Full time

Job summary

Electra Hospital District is seeking a dedicated billing professional to obtain payer information, submit insurance claims, and bill patients accurately. The role supports capably handling accounts receivable, resolves denied claims, and explains payment options to patients.

Strong customer service and confidential handling of information are essential. Ideal candidates will have at least two years of billing experience in a medical setting, familiarity with payer portals, and a willingness to

Qualifications

• High school diploma or equivalent required.
• Two years’ experience in billing and/or medical supply required.
• Certified Professional Coder certification preferred.
• Valid state driver’s license required.

Responsibilities

• Obtain and enter payer information into established software system accurately.
• Submit claims to insurance carriers and bill patients.
• Collect payments and process transactions accurately.
• Review, investigate, and appeal unpaid or denied claims.
• Explain payment structures and insurance coverage to patients.
• Prepare accounts receivable reports and other clerical duties.
• Respond to on-call inquiries within specified timeframes.

Skills

Customer service

HIPAA compliance

Communication

Data entry

Education

High school diploma or equivalent

Tools

Billing software

Computers

Job description

Responsible for obtaining data from medical providers and utilize to submit claims and bill patients. Perform functions in support of the store. Provide excellent customer service for all internal and external customers.ESSENTIAL DUTIES AND RESPONSIBILITIES:Communicate and treat patients in a professional, honest, fair, and respectful manner at all times.Answer any questions patients may have about their medical equipment in person or by phone.Maintain HIPAA required and all other confidentiality while working with confidential matters on a daily basis.Utilize appropriate billing and coding practices to prepare, process, and submit claims to insurance carriers.Collaborate with insurance companies, healthcare providers, and patients regarding claim processing, authorizations, and reimbursement.Collect patient payments and process transactions accurately and efficiently.Review, investigate, and appeal unpaid, underpaid, or denied insurance claims.Explain to patients’ terms for payment structures, payment policies, and insurance coverage.Obtain and enter payer information into established software system accurately and completely.Answer and make phone calls to address patient billing inquires.Document insurance information, personal information, payment methods, and other important patient information accurately and appropriately communicate that information.Retrieve status information from payer websites.Communicate with third-party payers to obtain current claim, authorization, and account status updates..Process insurance claims and bill patients.Complete accounts receivable and other various reports.Manage various types of paperwork and other clerical duties.Respond to on-call inquiries, emergencies, and initial equipment setup requests within one hour of notification.Physically respond to on-call within two hours of call.Report on-call actuaries to the department manager on the next business day.Assist with the assembly, pricing, inventory management, and stocking of medical equipment, supplies, and retail items.Perform additional clerical and administrative duties as assigned.Participate in quality improvement initiatives designed to improve patient outcomes and enhance operational effectiveness.OTHER SIGNIFICANT REQUIREMENTS:Work well with other employees.Maintain confidentiality on a daily basis.Perform other functions and tasks as assigned.Attend seminars and workshops as requested.Participate in the department on-call schedule.WHY EHD?PEOPLE FIRSTOur staff is our most valued asset. Electra Hospital District operates eleven businesses that work as a team to provide complete continuity of care for our patients. We know that people make the difference and consider our team members the best in the business.BENEFITS & COMPENSATIONIt takes the best of the best to provide superior patient care. Our employees make a difference in our quality care, and we reward them for their dedication. We offer competitive, market-driven compensation and benefit plans.CULTURE & SUPPORTWe believe that the best patient care comes from happy employees. At Electra Hospital District, we strive to create a family culture with open lines of communication. A dedicated employee appreciation committee provides year-round fun at all our locations.EDUCATION: High school diploma or equivalent required.EXPERIENCE: Two years’ experience in billing and/or medical supply required.PERSONAL JOB-RELATED SKILLS: Computer and basic mathematical skills to be able to calculate figures and amounts. Must possess excellent customer service skills. Effective oral and written communication skills. Familiar with operating computers and ability to utilize computer systems.LICENSURE, REGISTRY, CERTIFICATIONS: Certified Professional Coder certification preferred. Valid state driver’s license required.PHYSICAL AND MENTAL REQUIREMENTS: Travel is required and reimbursed at the prevailing IRS business mileage rate. Duties of the position require intermittent walking, sitting, and standing. Long periods of sitting required. Some bending, stooping, and reaching is required with the lifting/carrying of items on occasion up to 32 pounds. The ability to comprehend and follow written and verbal instructions.