BILLING SPECIALIST

ADP; Sandusky (MI); On-site; USD 36,000 - 48,000; Full time

Job summary

McKenzie Health System is seeking a Billing Specialist in Sandusky, MI to manage patient accounts, review insurance claims, and ensure accurate billing.

The role handles claim submissions with multiple insurers, follows up on rejected claims, prepares refunds for overpayments, and assists with billing reports while upholding HIPAA and ethical standards.

Qualifications

• High school diploma or equivalent is required.
• Previous experience with medical billing/insurance processing is preferred.
• Procedure and diagnostic coding experience preferred.
• Medical terminology course preferred.
• Certification in Billing/Coding within 6 months of employment is required.
• Ability to comprehend verbal and written instructions and procedures.
• Demonstrates strong interpersonal skills in dealing with customers and hospital personnel.

Responsibilities

• Review patient account files to ensure accuracy and completeness.
• Facility charges submitted to multiple insurance companies.
• Follow up on rejected claims for payment.
• Prepare refunds for overpaid accounts.
• Receive and answer billing-related inquiries from patients/customers.
• Assist in the preparation of billing reports.

Skills

Billing/insurance processing

Medical terminology

Certification in Billing/Coding

Education

High school Diploma or equivalent

Job description

BILLING SPECIALIST

Full Time Clerical Sandusky, MI, US

Title: Billing Specialist
Department: Patient Financial Services

Status: Full Time (40 hours/week). Hours may be adjusted in response to workload demands. Low census may be utilized in accordance with hospital policy.

Job summary:

Accepts responsibility for assigned insurance group or sector. Reviews patient account files to ensure accuracy and completeness, facilities claims with multiple insurance companies; review, research and follow up on rejected claims for payment; determines appropriate billing of claims, monitors outstanding accounts and completes related forms, prepares refunds for overpaid accounts, receives and answers billing-related inquiries from patients and/or customers, and assists in the preparation of billing reports. Supports and adheres to the HIPAA Privacy Rules and Code of Ethics and Business Standards of McKenzie Health System. Performs other related duties as necessary

Qualifications/Position Requirements:

• High school Diploma or equivalent, required.
• Previous experience with medical billing/insurance processing preferred.
• Procedure and diagnostic coding experience preferred.
• Medical terminology course preferred.
• Certification in Billing/Coding required within 6 months of employment.
• Able to comprehend verbal and written instructions and procedures.
• Knowledge of/or ability to learn to use various office equipment including computer, internet, printers, software systems, and multi-line phone system.
• Ability to perform mathematical calculations including co-pays, spenddowns and percentages.
• Ability to maintain concentration despite interruptions; Capable of functioning under stressful situations.
• Demonstrates strong interpersonal skills in dealing with customers and hospital personnel.

Equal Opportunity Provider and Employer

McKenzie Health System is an equal opportunity provider and employer. All qualified applicants receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.