Medical Billing Specialist

Description

The Medical Billing Specialist plays a key role in ensuring accurate and timely billing for client services. This position is responsible for processing claims efficiently, recording and reconciling payments from all sources, and proactively working to maximize revenue while minimizing denied or uncollectible claims. 

Position Title: Medical Billing Specialist

Department: Finance

Hours: Full-time 40 hours/week, Monday – Friday (Non-Exempt)

Location: Lifeworks Services – Richfield / 20% in-person

Compensation: $30 - $32 per hour

What we offer employees

Lifeworks offers a comprehensive benefits package which includes:

• 18 days of PTO accrued in the first year of employment
• 11 paid holidays (New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Thanksgiving, Day after Thanksgiving, Christmas Eve, Christmas Day, and a Personal Holiday)
• Medical, dental, vision, life, AD&D insurance, short & long-term disability coverage
• Health Savings Account (HSA), Flexible Savings Account (FSA), and prescription drug coverage
• Up to $3,000 annually in tuition reimbursement
• 403(b) retirement plan – Lifeworks contributes 3% of your salary and matches up to 4% of employee contributions
• Employee Assistance Program (EAP)

Why Work at Lifeworks

Lifeworks is an industry leader on the forward edge of partnering with people with disabilities in innovative, person-centered ways. Disability inclusion is our true north, guiding every service we provide and ensuring that people with disabilities have opportunities, can thrive, and defy expectations. The Lifeworks Team is collaborative, passionate, and strategic, using a person-centered approach to increase access in our communities.

You’ll succeed in this role if you:

• Have excellent organizational skills. Must be able to manage multiple tasks and prioritize claims and payments efficiently.
• Possess strong analytical skills to research claim denials and identify root causes of errors.
• Have a deep understanding of medical coding, medical claims processing systems and claims processing protocols.
• Understand and communicate written and verbal directions.
• Are reliable, punctual, and have regular attendance necessary to meet the needs of the business.
• Are well organized with excellent attention to detail.
• Work independently with excellent time management skills.
• Work effectively with others to reach common goals and objectives.
• Can establish and cultivate strong relationships.
• Take initiative and strengthen relationships with current and new community.
• Must pass a background study with the Department of Human Services, a drug test, clean driving record and have reliable transportation to use for work driving purposes (e.g., in-office, on-site training locations, etc.).

How you’ll be spending your time:

• Preparing and timely submitting billing (medical claims) biweekly, ensuring all necessary information is accurate and complete.
• Researching any unprocessed claims and correcting any errors required to submit claims for payment.
• Reviewing denials or partially paid claims and working with any involved parties to resolve any issues until the claim can be resubmitted and paid.
• Reconciling and applying payments biweekly and handling any outstanding balances promptly.
• Preparing weekly aging reports and prioritizing accounts for collection.
• Maintaining detailed documentation on efforts to resolve uncollected claims and escalating to management timely.
• Consulting with managers, team members, program leaders, and other internal and external resources to solve billing and collection questions.
• Maintaining outstanding balances including over 90-days balance less than 5% of total outstanding balance.
• Identifying and recommending uncollectible claims for write-off to management monthly.
• Managing other account receivable billing and collection of payments for non-medical billing as needed.
• Entering and reconciling cash receipts and recording invoice payments.
• Providing backup for other positions within the accounting department as needed.
• Staying current on all relevant program service rules and requirements as it relates to medical billing.
• Adhering to obligations under HIPAA and Generally Accepted Accounting Principles (GAAP).
• Following safety procedures and assisting in identifying safety needs for self and others.
• Performing other duties as assigned.

Requirements

• Associate degree in healthcare administration, accounting, or business with two years of medical claims billing experience or High School Diploma/GED and Certified Professional Biller with 2 years of experience or a combination of education and experience equal to 6 years.
• Experience billing through electronic health records (EHR) or other medical billing software systems.
• Intermediate to advanced skills in Excel
• Fluent in English, verbal and written.
• Proficiency in Microsoft Office Suite

Equity Statement:

Lifeworks strives to be radically accessible, diverse, equitable, and inclusive. We appreciate the vibrancy of differences, center the voices of silenced and marginalized people, and champion universal rights.

Lifeworks Services is committed to hiring people from a variety of diverse cultures with diverse life experiences. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, familial status; genetic information, or any other characteristic protected by law.

Lifeworks Services is an equal opportunity employer, and we encourage members of diverse groups to apply.