Medical Billing Collections Specialist
Medical Billing Collections Specialist
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Job Description
Job Description Summary:
At Logan Health in Shelby Montana were more than just a healthcare providerwere a community. Nestled in the heart of Montana we are committed to delivering exceptional care to our patients while fostering a supportive and collaborative work environment for our team. As a member of Logan Health youll be part of a dynamic team that values compassion innovation and excellence. We offer opportunities for growth comprehensive benefits and a chance to make a meaningful impact in the lives of those we serve. Come join us and experience the Logan Health difference where your passion meets purpose in a place youll be proud to call home.The Medical Billing & Collections Specialist is responsible for timely and accurate claim submission monitoring claim status resolving rejections and denials and processing adjustments for Medicare accounts. This role requires critical thinking skills and a solid understanding of Medicare eligibility payment methodology and government regulations. Proficiency with Meditech and/or Cerner billing systems is essential to ensure efficient claim processing
Key Responsibilities:
Billing and Collections
Submit claims to primary secondary and tertiary insurance in accordance with guidelines.
Follow up on unpaid insurance accounts using aging reports.
Handle claim appeals and refund requests as needed.
Identify billing and reimbursement trends report findings to leadership.
Reallocate misapplied payments and adjustments.
Maintain patient confidentiality and adhere to payer guidelines.
Assist with special assignments as required.
OnSite Business Office Coverage
Respond to patient inquiries about billing accounts and payment options professionally and promptly.
Help patients understand billing statements Explanation of Benefits (EOBs) and insurance claims.
Post payments and adjustments accurately ensuring compliance with statements and insurance rules.
Collaborate with team members to resolve billing issues and escalate as needed.
Keep patient records accurate and update account information regularly.
Log customer interactions clearly in the billing system.
Act as a liaison between patients providers and payers to resolve account issues.
Additional Responsibilities
Complete tasks efficiently meeting productivity and quality standards.
Participate in team meetings and training sessions to support ongoing improvement.
Maintain reliable attendance as per the assigned schedule.
Uphold HIPAA and confidentiality guidelines.
Basic Qualifications:
1 year(s) of experience in a business medical or clinical environment.
Excellent interpersonal and customer service skills
Proficiency in Microsoft Office Suite with intermediate knowledge of Microsoft Excel including data entry formulas and basic functions.
Preferred Qualifications:
Experience with Medicare and/or Medicaid UB04 & CMS1500 claim forms.
Advanced skills in Electronic Medical Record Billing systems including Meditech and Cerner.
Familiarity with medical terminology and insurance guidelines.
Proficiency in MS Word Excel PowerPoint and Outlook.
Fluent in English (spoken and written).
Strong time management organizational and relationshipbuilding skills.
Ability to prioritize tasks in a fastpaced environment with minimal supervision.
Maintain regular and consistent attendance as scheduled by department leadership.
Shift:
Day Shift 8 Hours (United States of America)Schedule Details:
Please know schedules and shifts are subject to change based on patient care and department/organizational needs.
Schedule:
Logan Health operates 24 hours per day seven days per week. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.
Notice of PreEmployment Screening Requirements
If you receive a job offer please note all offers are contingent upon passing a preemployment screening which includes:
Criminal background check
Reference checks
Drug Screening
Health and Immunizations Screening
Physical Demand Review/Screening
Equal Opportunity Employer
Logan Health is an Equal Opportunity Employer (EOE/AA/MF/Vet/Disability). We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status race color gender sexual orientation religion national origin age disability or any other basis protected by applicable law. If you require accommodation to complete the application testing or interview process please notify Human Resources.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
