Medical Billing Associate, Billing Specialist

Mission

The Warren Center advocates, serves and empowers the children and families impacted by developmental delays and disabilities.

Core Values

Demonstrate The Warren Center’s Core Values:

• We are family focused and work passionately for our families. 
• We play well with others, we have fun, find joy and love a good laugh while treating everyone with respect, courtesy and honesty.
• We are curious, we ask why and we seek to understand, to learn and to grow.
• We are solution driven, when we see an issue, we speak up, act and don’t rest until solutions work efficiently and well.

Summary

Reporting directly to the Medical Billing Manager, the Medical Billing Associate – Billing Specialist supports the overall mission of The Warren Center by accurately processing medical claims, and resolving billing issues.

Essential Duties and Responsibilities

To perform this job successfully, an individual must be able to perform the following satisfactorily.

Key Responsibilities

• Support daily revenue cycle operations, including billing, collections, and payment posting
• Verify patient insurance eligibility, benefits, and coverage details
• Review and correct claims for accuracy prior to submission
• Follow up on unpaid, rejected, or denied claims with insurance carriers
• Assist with claim appeals and resubmissions as needed
• Post payments, adjustments, and denials in the billing system
• Communicate with patients regarding account balances and available payment options
• Maintain accurate and up-to-date patient and billing records
• Assist with month-end reporting and account reconciliations
• Ensure compliance with payor guidelines, HIPAA regulations, and organizational policies
• Perform other duties as assigned

Daily Tasks

• Retrieve and post payments from Waystar
• Reconcile billing and payment records
• Review and resolve authorizations and eligibility denials
• Conduct insurance verifications
• Obtain commercial referrals and authorizations for services

Education and Experience

• High school diploma or General Educational Development (GED) diploma 

• 5+ experience in medical billing with focus in accounts receivable 
• Experience with ProviderSoft medical software preferred

Additional Technical Skills, Traits and Knowledge

 To perform this job successfully, an individual must be able to perform each qualification satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. 

• High energy and passion for The Warren Center’s mission is essential
• Professional, dependable, and proactive
• Strong interpersonal and communication skills, both verbal and written
• Must possess excellent time management and organizational skills
• Appropriate data and word processing skills
• Ability to use basic office technology equipment
• Demonstrate critical thinking, creativity, problem solving and decision-making skill
• Ability to read, write, perform math and accounting functions, and proof-read

Environment

The physical requirements and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. 

• Frequently required to use hands to finger, handle, or feel, and use keyboard as well as see, talk or hear
• Occasionally required to stand and move around for work
• Moderate stress level
• Long periods of sitting
• The noise level in the work environment is usually moderate in a shared work space

EQUAL OPPORTUNITY EMPLOYER

The Warren Center is an Equal Opportunity Employer and we believe in an inclusive culture for all. The Warren Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.