Insurance Billing Specialist

Pay Range for this position is $25.04-$37.56 DOE

ESSENTIAL FUNCTIONS AND BASIC DUTIES

Supervisory-Specific Performance Expectations, Duties, and Responsibilities:

• N/A

Position-Specific Performance Expectations, Duties, and Responsibilities:

• Shows patients to the examination room and prepares them for the provider.
• Records patients’ past medical history, vaccine status, vital statistics, and medication reconciliation.
• Maintains compliance within the department and clinic, as well as within state and federal regulations and policies.
• Working knowledge of phone: answers, greets, and directs by phone. Takes messages and documents in the patient’s record.
• Cares for instruments, i.e., cleaning, packaging, and sterilizing (where sterilization equipment is available).
• Participates in mandatory in-services and attends staff meetings.
• Follows policies and procedures.
• Demonstrates knowledge of emergency preparedness and participates in drills.
• Respects the confidentiality of patient records and uses complete discretion when discussing patient information in accordance with HIPAA.
• Utilizes all department forms and documents in Electronic Medical Records (EMR) appropriately.
• Identifies victims and the process for reporting abuse.
• Collects, labels, and transports all specimens appropriately.
• Demonstrates proper techniques when setting up for procedures.
• Demonstrates knowledge of emergency and routine equipment and procedures.
• Collaborates with patient care planning. Actively participates in education specific to patient diagnosis and needs.
• Assists providers with special tests and procedures.
• Acts as a resource person to other staff members.
• Maintains a positive and supportive behavior towards team members, staff members, and other departments within the organization.
• Participates in process improvement teams or in interdepartmental efforts.
• Assesses every patient for safety, medication dosage appropriateness, and other needs.
• Acts as a liaison between patients, families, providers, and staff.
• Completes workload as assigned.
• Administers medication and performs treatment in accordance with standards of care. Translates medications into pediatric doses and uses proper equipment for the patient’s size and age.
• Floats to other clinical departments as assigned.
• Performs other duties as assigned.

Organization-Specific Performance Expectations, Duties, and Responsibilities:

• Demonstrates full commitment to the CHOICE values of MRH and consistently represents the organization in a positive, professional manner.
• Establishes and maintains effective verbal and written communication, fostering positive working relationships with patients, staff, and vendors.
• Adheres to the MRH attire and dress code in accordance with organizational policies and procedures.
• Exhibits initiative and self-motivation; maintains a consistent level of productivity and manages time and responsibilities effectively.
• Completes all required annual education, training, in-services, and licensure/certification updates; actively participates in departmental and organizational meetings or reviews meeting minutes as required.
• Maintains strict patient confidentiality at all times.
• Reports to work punctually and completes assigned duties within established timeframes.
• Actively contributes to departmental and organization-wide performance improvement and continuous quality initiatives.
• Ensures compliance with all regulatory requirements, maintaining adherence to departmental, hospital, state, and federal standards and policies.
• Follows all infection control, safety, and risk management procedures to maintain a safe environment for patients, the public, and staff.

QUALIFICATIONS

• Must be at least 18 years of age (21 for positions requiring driving, with a valid driver’s license).
• Must be legally authorized to work in the United States.
• Must successfully pass a background check.
• Must successfully pass a pre-employment drug screen and breath alcohol test (if applicable).
• Must complete an Employee Health meeting prior to starting employment.