Job Description
Job Description
We have a full-time position available for a Billing Specialist in West Des Moines, Iowa. We offer a competitive hourly wage and benefits package. This position offers the flexibility of remote work. However, candidates must residewithin a 2 hour driving radius of West Des Moines, Iowa, to allow for occasional on-site meetings or training as needed.
"UCS Healthcare values me as an employee." "I'm given the latitude to do my job." "UCS Healthcare is making a difference in our community." "My supervisor is caring and understanding and is rooting for my success!"
These are just a few quotes from a recent employee survey. Many employers promise competitive salaries and benefits, but more than that is required to provide a fulfilling career. What will? How about an organizational culture of mutual respect? Or maybe a career that is not 'corporate,' where profits come before people?
As an integrated healthcare non-profit, we put people first. We pay for a vast majority of your health insurance premium as part of our robust benefits package. We provide real opportunities for advancement and growth while doing work that makes a difference in our communities. We are inclusive and firmly believe that bringing your authentic self to work improves teams and helps our clients thrive.
If you're seeking a workplace that aligns with your values, where your contributions are appreciated, and where you can make a tangible impact, consider joining our team. Rather than waiting for others to catch up with UCS Healthcare, apply with us. Our team members tell us that they are grateful they did. Join us in our mission to create hope for healing and lifelong well-being.
UCS Healthcare has earned the Best Place for Working Parents® Designation three years running (2021-2025) in recognition of our commitment to supporting working parents through our family-friendly policies and practices.
Reports To: Billing Supervisor
Job Summary:
The Billing Specialist will have a strong background in medical billing, with the necessary skills to ensure excellent collections of all accounts and reduce Account Receivable days. This person will work on several tasks requiring problem solving skills, in-depth evaluation and exercising judgement within the appropriate scope of practice. This person will operate in alignment with UCS Healthcare core values. Is a team player, provides patient centered services and strives to provide the highest level of care.
As part of UCS Healthcare, team members will follow all laws and regulations, including those at the Federal, State, and Local level. They will also adhere to all UCS policies and procedures, including patient confidentiality, HIPAA/ 42CFR part 2, and all CARF requirements. All team members will operate in alignment with UCS Healthcare's core values, work effectively in a team environment, provide or support patient-centered services, and strive to assist UCS Healthcare in delivering the highest level of care.
Essential Functions: (80%)
· Verify any insurance coverage for clients and update the system accordingly.
· Work with insurance companies to secure any pre-authorizations required for procedures and/or work with counseling staff to secure or track any pre-authorizations for procedures.
· Working directly with the insurance company, providers, and patients to effectively ensure claim processing and payment from insurance and/or patient.
· Collects delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when payment lapses occur.
· Review and appeal all unpaid and denied claims with full aptitude of the denial management processes, as well as correct any Waystar rejections with full aptitude of the rejection process.
· Completes duties with payment posting with accuracy and compliance with contract discounts.
· Fully understand and work the facility’s accounts receivable reports as determined by Revenue Services Director.
· Enhances billing department and group reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
· Serves and protects the Group and community by adhering to professional standards, company policies and procedures, federal, state, and local requirements.
· Prioritizing time sensitive duties effectively to ensure that tasks get completed efficiently without delays.
· Communicate with management regarding deadlines on tasks assigned.
Other Functions: (20%)
· Answer phone calls or emails from patients, team member, or other facilities that have inquiries regarding accounts.
· Maintain quality results through work operations by following policies and procedures, reporting compliance issues dire
· Run appropriate audits on work to ensure that appropriate chart notes and pertinent data are in the system prior to billing, when necessary.
· Updates job knowledge by participating in educational opportunities.
· Adheres to all UCS Personnel policies and procedures, departmental policies, and safety guidelines.
· Other duties as assigned.
Minimum Required Knowledge, Abilities, Skills and Experience:
· Must have working knowledge of clearinghouse and practice management systems.
· Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
· Use of computer systems, software, 10 key calculators.
· Ability to handle confidential work with tact and discretion.
· Strong written and verbal skills for contacts with insurance payers and other team members.
· Strong customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
· Able to work in a team environment and independently.
· Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
· Experience in establishing relationships with patients and office staff.
· Good analytical and problem-solving skills.
· Ability to perform in stressful situations.
· Ability to achieve individual, team and organizational goals through personal initiative, as well as build collaborative relationships.
· Must have minimum 1-year experience in Medical Billing.
Preferred Education, Skills & Experience:
· Bachelor’s degree preferred, but not required.
· Primary care and behavioral health billing experience.
· Knowledge and experience with grant funding.
Supervisory Responsibility: NA
Physical Requirements:
• Must have a valid Iowa driver’s license and liability insurance as travel within the state of Iowa may be required. Prolonged periods of sitting at a desk and working on a computer.
• Occasional need to work some irregular hours.
• Must live within a 2 hour driving distance to home office in West Des Moines, Iowa.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Monday-Friday 8-5, with some flexibility. Full-time 40 hours a week.