Billing & A / R Specialist

Job Description

OnPoint Medical Group is searching for an outstanding Billing & A / R Specialist to join our team! Come join a great group of medical professionals as our network continues to grow!

OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible.

Our "Circle of Care" has one primary goal – to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs and medical records all interlinked and coordinated, patient care has never been in better hands.

Billing and A / R specialist requirements include full revenue cycle duties including submitting a clean claim and / or assisting with said submission, verify contractual payment is received and / or appealing a denial, answering patient phone calls and reviewing patient statements, working A / R.

ESSENTIAL DUTIES AND RESPONSIBILITIES

The following statements are illustrative of the essential duties of the job and do not include other non-essential or peripheral duties that may be required. We retain the right to modify or change the essential and additional functions of the job at any time.

1.Accounts Receivable Collections & Management

○Working directly with the insurance company, healthcare provider, and patient to get claims processed and paid

○Reviewing and appealing unpaid and denied claims

○Running A / R reports.

○Working Unpostables, denials, and claims worklists per Athenahealth Best Practices.

○Answering phone calls with patients’ billing questions

2.Productivity

○Clearing a minimum of 20 claims per day out of assigned claims worklist

○Keeping A / R less than 180 days

○Answer patient phones calls as per assigned position on the phone tree, minimizing voicemails

3.Policies

○Work within guidance of Billing Compliance Plan

○Work within Billing Guidelines

4.Maintain and follow strict privacy, confidentiality, and safety protocols. Comply with all government regulations around the following :

○HIPAA

○OSHA

○PCI DSS

5.Other Administrative Duties

○Maintain a clean and organized work environment

○Deliver faxes to billing department staff member when appropriate

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required for this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Minimum Education / Experience

• High School Diploma or High School Equivalency
• Strong computer skills required
• 5 years healthcare experience
• 2+ years billing experience

Preferred Education / Experience

CUSTOMER SERVICE EXCELLENCE

LANGUAGE SKILLS

MATHEMATICAL SKILLS

REASONING ABILITY

APTITUDES AND TEMPERAMENTS REQUIRED

SUPERVISORY RESPONSIBILITIES

This position does not have any supervisory responsibilities

JOB ELEMENTS / WORKING CONDITIONS

Work Environment

The above statements describe the general nature and level of work performed by people assigned to this classification. They are not an exhaustive list of all responsibilities, duties and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

BENEFITS OFFERED

Salary : $21 - $25 / hour

The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role.

OnPoint Medical Group is an EEO Employer.

Compensation details : 21-25 Hourly Wage

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