Variety Care
Medical Billing Specialist, Bilingual (67643)
Variety Care, Oklahoma City, Oklahoma, United States, 73116
Department:
Billing
Position:
Medical Billing Specialist, Bilingual
Employee Category:
Non-Exempt
Reporting Relationship:
Manager of Revenue Cycle Management
Character Qualities
Decisiveness – The ability to recognize key factors and finalize difficult decisions.
Dependability – Fulfilling what I consented to do, even if it means unexpected sacrifice.
Flexibility – Willingness to change plans or ideas without getting upset.
Patience – Accepting a difficult situation without giving a deadline to remove it.
Tolerance – Accepting others at different levels of maturity.
Summary of Duties and Responsibilities The Medical Billing Specialist is responsible for reviewing daily charges and adjustments entered for accuracy, filing third‑party claims, self‑pay patient billing, and answering billing questions from patients and staff.
Primary Duties and Responsibilities
Review assigned claims daily to ensure accuracy prior to claim submission.
Review documentation on self‑pay claims to ensure that the appropriate discount is applied.
Make billing corrections and adjustments to claims as appropriate to ensure prompt payment and balance accuracy.
Validate the correct payer for claim as well as verify patient eligibility when in question.
Contact patients for missing information or clarification of documentation.
Request documentation and/or information required to process claims, scan and upload documentation to patient accounts as applicable.
Submit claims to clearinghouse daily.
Process secondary and tertiary claims accurately and timely to ensure payment.
Coordinate with the Claims Resolution Specialists to assist in investigating denied claims and credit balances.
Complete rejection and rebill requests.
Follow up on pending claims and work to resolution.
Assist with patient phone calls regarding balances and benefits; advise patients of deductibles and co‑payment status.
Assist patients with payment arrangements by coordinating with a Collection Specialist; issue individual statements when necessary on patient accounts.
Assist the front staff with billing and eligibility related questions.
Keep abreast of the variety of programs offered at each site and apply benefits correctly to patient charges.
Produce itemized billing requested by law firms or other agencies.
Process DLO invoices monthly and send all requested information from accounts.
Create daily deposit slips on self‑pay and private pay accounts.
Collect credit card payments from patients and post to respective accounts.
Keep current with dental, behavior health, and vision claims and process them.
Meet established daily, weekly, monthly, and annual deadlines.
Uphold Medicare, Medicaid, and HIPAA compliance guidelines in relation to billing, collections, and PHI information.
Follow written and verbal instructions from the Manager of Revenue Cycle Management.
Exhibit professionalism in communication with patients, clients, insurance companies, and co‑workers.
Participate in special projects.
Support Variety Care’s accreditation as a Patient Centered Medical Home and our commitment to provide care to all Variety patients that is Safe, Effective, Patient Centered, Timely, Efficient, and Equitable. Provide leadership and work with all staff to achieve the goals of the “Triple Aim” of healthcare reform—to improve the experience of care, improve health outcomes, and decrease healthcare costs.
Embody the strength of personal character. Place value on being an open and honest communicator who displays high moral and ethical conduct, integrity, adaptability, and sound judgment. Must be a leader in the department and community. Result‑oriented problem solver who is responsible and accountable.
Perform other duties as assigned.
Essential Functions
Must be able to lift 25 pounds.
Must be able to sit for extended periods of time.
Must have excellent concentration ability.
Qualifications
High school diploma or GED.
Experience communicating with patients, management, front office, and providers to resolve claim or account issues.
Mastery of critical thinking, analytics, problem‑solving, and sound decision‑making skills.
Experience interacting and communicating effectively with individuals at various levels both inside and outside the organization, often in sensitive situations.
Proficiency with Microsoft Office and practice management software systems.
Experience assisting and supporting others in a professional and respectful manner.
Bilingual (English/Spanish).
Preferred Requirements
Work experience related to the medical field preferred in a Family Practice Setting.
Experience filing third‑party claims and reports in a timely manner.
Basic knowledge of medical terminology and protocols.
Basic knowledge of coding and anatomy.
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Billing
Position:
Medical Billing Specialist, Bilingual
Employee Category:
Non-Exempt
Reporting Relationship:
Manager of Revenue Cycle Management
Character Qualities
Decisiveness – The ability to recognize key factors and finalize difficult decisions.
Dependability – Fulfilling what I consented to do, even if it means unexpected sacrifice.
Flexibility – Willingness to change plans or ideas without getting upset.
Patience – Accepting a difficult situation without giving a deadline to remove it.
Tolerance – Accepting others at different levels of maturity.
Summary of Duties and Responsibilities The Medical Billing Specialist is responsible for reviewing daily charges and adjustments entered for accuracy, filing third‑party claims, self‑pay patient billing, and answering billing questions from patients and staff.
Primary Duties and Responsibilities
Review assigned claims daily to ensure accuracy prior to claim submission.
Review documentation on self‑pay claims to ensure that the appropriate discount is applied.
Make billing corrections and adjustments to claims as appropriate to ensure prompt payment and balance accuracy.
Validate the correct payer for claim as well as verify patient eligibility when in question.
Contact patients for missing information or clarification of documentation.
Request documentation and/or information required to process claims, scan and upload documentation to patient accounts as applicable.
Submit claims to clearinghouse daily.
Process secondary and tertiary claims accurately and timely to ensure payment.
Coordinate with the Claims Resolution Specialists to assist in investigating denied claims and credit balances.
Complete rejection and rebill requests.
Follow up on pending claims and work to resolution.
Assist with patient phone calls regarding balances and benefits; advise patients of deductibles and co‑payment status.
Assist patients with payment arrangements by coordinating with a Collection Specialist; issue individual statements when necessary on patient accounts.
Assist the front staff with billing and eligibility related questions.
Keep abreast of the variety of programs offered at each site and apply benefits correctly to patient charges.
Produce itemized billing requested by law firms or other agencies.
Process DLO invoices monthly and send all requested information from accounts.
Create daily deposit slips on self‑pay and private pay accounts.
Collect credit card payments from patients and post to respective accounts.
Keep current with dental, behavior health, and vision claims and process them.
Meet established daily, weekly, monthly, and annual deadlines.
Uphold Medicare, Medicaid, and HIPAA compliance guidelines in relation to billing, collections, and PHI information.
Follow written and verbal instructions from the Manager of Revenue Cycle Management.
Exhibit professionalism in communication with patients, clients, insurance companies, and co‑workers.
Participate in special projects.
Support Variety Care’s accreditation as a Patient Centered Medical Home and our commitment to provide care to all Variety patients that is Safe, Effective, Patient Centered, Timely, Efficient, and Equitable. Provide leadership and work with all staff to achieve the goals of the “Triple Aim” of healthcare reform—to improve the experience of care, improve health outcomes, and decrease healthcare costs.
Embody the strength of personal character. Place value on being an open and honest communicator who displays high moral and ethical conduct, integrity, adaptability, and sound judgment. Must be a leader in the department and community. Result‑oriented problem solver who is responsible and accountable.
Perform other duties as assigned.
Essential Functions
Must be able to lift 25 pounds.
Must be able to sit for extended periods of time.
Must have excellent concentration ability.
Qualifications
High school diploma or GED.
Experience communicating with patients, management, front office, and providers to resolve claim or account issues.
Mastery of critical thinking, analytics, problem‑solving, and sound decision‑making skills.
Experience interacting and communicating effectively with individuals at various levels both inside and outside the organization, often in sensitive situations.
Proficiency with Microsoft Office and practice management software systems.
Experience assisting and supporting others in a professional and respectful manner.
Bilingual (English/Spanish).
Preferred Requirements
Work experience related to the medical field preferred in a Family Practice Setting.
Experience filing third‑party claims and reports in a timely manner.
Basic knowledge of medical terminology and protocols.
Basic knowledge of coding and anatomy.
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