BILLING SPECIALIST

McKenzie Health System; Sandusky (MI); On-site; USD 42,000 - 56,000; Full time

Job summary

McKenzie Health System is seeking a Billing Specialist to join the Patient Financial Services department in a full‑time capacity. The role involves reviewing patient accounts, processing insurance claims, and handling inquiries while ensuring HIPAA compliance and accurate billing practices.

The ideal candidate will have a high school diploma, experience with medical billing and coding, and a willingness to obtain billing/coding certification within six months.

Qualifications

• High school diploma or equivalent is required.
• Certification in Billing/Coding within 6 months of employment is required.
• Procedure and diagnostic coding experience preferred.
• Medical terminology course preferred.

Responsibilities

• 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.
• Assists in the preparation of billing reports.
• Supports HIPAA Privacy Rules and Code of Ethics and Business Standards of McKenzie Health System.

Education

High school diploma or equivalent

Certification in Billing/Coding within 6 months

Procedure and diagnostic coding experience preferred

Medical terminology course preferred

Job description

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.

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.