Medical Billing Specialist, Spine, (Larkspur), Full-Time, Days

ABOUT MARINHEALTH
Are you looking for a place where you are empowered to bring innovation to reality Join MarinHealth an integrated independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team an affiliation with UCSF Health an ever-expanding network of clinics and a new state-of-the-art hospital MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center a 327-bed hospital in Greenbrae and 55 primary care and specialty clinics in Marin Sonoma and Napa Counties. We attract healthcares most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospitals personalized caring touch.

MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades including being Named One of the Top 250 Hospitals Nationwide by Healthgrades receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services and being named the Best Hospital in San Francisco/Marin by Bay Area Parent among others.

Company:

Prima Medical Foundation dba MarinHealth Medical Network

Work Shift:

8 Hour (days) (United States of America)

Scheduled Weekly Hours:

40

Job Description Summary:

The Billing Specialist is responsible for the coordination of full-scope for each assigned conjunction with Practice Leaders ensures accurate charge capture and management of the reconciliation process. Daily review and working of revenue cycle work queues is essential. Communicates with coding vendor regarding surgical procedures. Trains support staff on appropriate billing procedures. Works with Revenue Cycle and Operation Directors on overall status of outstanding billing for these specialties.

Job Requirements Prerequisites and Essential Functions:

Pay Range:
$23.00 - $27.40 - $31.73

Essential Functions and Responsibilities:

• Effectively uses application of Current Procedural Terminology (CPT) coding system; interprets appropriately and accurately.
• Ensures clinical staff and providers submit proper and accurate documentation for the services being provided.
• Serves as a liaison/resource for clinical and non-clinical staff regarding revenue cycle processes.
• Responsible for completion of all claims and itemized bills daily with complete accuracy.
• Responsible for the daily review of appropriate reports from Apex and reporting any discrepancies to the Practice Leader.
• Performs quality control functions on claims and itemized bills to ensure overall accuracy to assure prompt and correct payments.
• Fosters effective working relationships with external organizations and agencies as required.
• Responsible for maintaining a strong focus on assigned tasks and at all times being a strong team player.
• Ability to exercise initiative decision-making and problem solving.
• Ability to manage multiple tasks in a busy clinical environment.
• Ability to prioritize tasks and manage time efficiently.
• Other duties as assigned

Qualifications:

• Strong interpersonal skills with ability to communicate in a clear and positive manner both verbally and in writing.
• Ability to read understand and follow oral and written instruction with attention to detail required.
• Ability to problem solve and monitor / track data identify trends and create solutions.
• Understanding of insurance payors prior authorizations and eligibility requirements.
• Knowledge of computer systems and applications i.e. Microsoft Office Excel Word.

Licensure:

• Coding specialist certification preferred.

Education:

• High school diploma or General Education Degree (GED) required.

Experience:

• Minimum 3 years experience in medical billing.
• Experience in health care customer service.
• Experience with Apex/Epic preferred.
• Experience and current knowledge of ICD10CM CPT and HCPCS coding methods. Coding experience a plus.

Reasonable accommodation(s) to qualified individuals with disabilities are available as part of the application step. If an accommodation is needed please contact Human Resources at or email to initiate the process.

MarinHealth is a diverse community of people with many different talents. We seek candidates whose work experience has prepared them to contribute to our professional C.A.R.E.S standards (Communication Accountability Respect Excellence and Safety) . These behavioral standards help us create a healing environment for patients and colleagues alike. By committing to them and holding ourselves accountable we can build trust and ensure clear communication.

At MarinHealth our top priority is the well-being of our employees patients and community. As such we require all employees to receive necessary immunizations including the measles mumps varicella and seasonal flu vaccinations as a condition of employment and annually thereafter. Additionally the continued recommendation to obtain a COVID booster vaccination status. We understand that some individuals may require medical or religious exemptions from these requirements and we remain committed to prioritizing the health and safety of all. Thank you for helping us in our efforts to maintain a healthy and safe environment.

The compensation for this role listed on this posting is in compliance with applicable law. The selected candidates compensation will be determined based on the individuals skills experience internal/market equity factors and qualifications. This posted minimum and maximum range represents the minimum and maximum of what we reasonably expect to compensate for the position. Furthermore all compensation decisions are ultimately determined in accordance with our compensation philosophy. Compensation for positions covered by collective bargaining agreements are governed by the agreements in the aforementioned document.