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Billing Specialist/Credentialing

JOB TITLE: Billing Specialist/Credentialing

DEPARTMENT: Billing

FLSA:  Full-Time; Non-Exempt

DURATION: Open Until 10/20/2019

SALARY RANGE: $16.00/hour to $19.00/hour

 

POSITION PURPOSE:

Oversee the preparation and billing of all third-party claims to appropriate payers accurately within reimbursement guidelines. Audit patient encounter forms, patient accounts, electronic billing reports and all HCFA forms to insure accuracy in coding and charges. Process all payments received in a timely manner and document all receivable data for reporting purposes. Update procedures based on frequently changing reimbursement guidelines and cross train in all duties with other billing staff. Perform all billing functions on a monthly rotational schedule by facility.


Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone. All applications will be reviewed and those deemed most qualified will be contacted for interview.  Please do not call the Human Resources Office to check the status of an application. Jobs will be open a maximum of 30 days from initial posting.


ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Provides support to and backup Credentialing Specialist in the processing and verifying of credentialing information for providers in accordance with HRSA policies.

  • Monitors information collection and analyzes data received to ensure accuracy. Conducts follow-up activities as necessary. 

  • Track and reconcile all denied claims daily with documentation on original denial form.

  • Assist staff with patient information, demographics and historical data reports.

  • Provide accounting staff and others with data needed for general ledger balancing, cost analysis, government agency reporting, and corrections processed.

  • Update patient account with missing information needed to bill third parties. 

  • Correspond with reimbursement agencies to verify paper and electronic submissions have been received.

  • Research and correct denials/rejections in a timely manner.

  • Initiate and follow up on appeals.

  • Analyze aged report and work accordingly to assure maximum reimbursement on submitted claims.

  • Performs other duties as assigned.

QUALIFICATIONS

Associates degree; or High School diploma or equivalent and 2-5 years of experience in medical environment.  Medical Coding and Billing Certification Required.

Must possess strong written and verbal communication skills. Knowledge of CAQH and all other commercial insurances is highly desired.  Must also be capable of multi-tasking, meeting critical deadlines and working well under pressure.

Prefer applicants with experience in FQHC setting.


Equal Opportunity Employer

OIC, Inc. is an equal opportunity employer.  OIC, Inc. offers equal opportunities to applicants and employees and makes all employment-related decisions based exclusively on job-related qualifications, without regard to characteristics such as race, color, national origin, religion, gender, age, marital status, disability, veteran status, citizenship status, sexual orientation, gender identity, political affiliation and/or any other status protected by law.

Diversity Statement

OIC, Inc. is committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling OIC, Inc.’s vision and goals.

Thank you for your interest in employment with OIC, Inc.

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