Billing & A/R Specialist

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
Some college – medical, business, accounting focus
Bilingual
EMR experience preferred – Athenahealth practice management system
Certified biller, coder, and/or 5 years experience billing, coding, or high level of insurance knowledge

CUSTOMER SERVICE EXCELLENCE
Provide customer service in accordance to clinic mission
Demonstrate ability to be courteous and respectful when interacting with patients and family members
Maintain patient confidentiality in accordance to policy and procedure and HIPAA requirements
Enact proper chain of command for patient complaints

LANGUAGE SKILLS
•Ability to effectively present information and respond to questions from groups of managers, patients, and the general public

MATHEMATICAL SKILLS
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals

REASONING ABILITY
•Ability to define problems, collect data, establish facts, and draw valid conclusions

APTITUDES AND TEMPERAMENTS REQUIRED
Must have a high level of energy with the ability to adjust to any justifiable pace.
Make decisions based more on fact than feeling
Exhibit behavior which emphasizes compassion, quality, loyalty and conscientiousness
Ability to establish and maintain effective working relationships with patients, their families and staff members

SUPERVISORY RESPONSIBILITIES
This position does not have any supervisory responsibilities


JOB ELEMENTS/WORKING CONDITIONS
While performing the duties of this job, the employee is regularly required to stand; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear.
Occasionally required to walk; sit; and stoop, kneel, crouch, or crawl.
Frequently lift and/or move up to 10 pounds and occasionally lift and/or move more than 25 pounds.
Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.


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

• Health insurance plan options for you and your dependents
• Dental, and Vision, for you and your qualified dependents
• Company Paid life insurance
• Voluntary options for short-term disability, and long-term disability coverage
• AFLAC Plans
• FSA options
• Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately
• Paid Time-Off earned

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.

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