Medical Billing Specialist

Primary Purpose Of PositionTo execute all billing and credentialing for all AppWell clinic facilities . Claims Submission: Prepare, review, and transmit claims to insurance companies(commercial and government) for reimbursement. Revenue Cycle Management: Monitor claim status, follow up on unpaid claims, and appeal denied claims to ensure timely payment. Patient Billing: Calculate patient responsibility, send patient statements, and handle inquiries about bills. Compliance: Adhere to HIPAA regulations to maintain patient confidentiality and comply with all legal/payer requirements. Provide front desk back up support to the LLHS Clinic Front Desk as needed. Be available to train student interns, graduate assistants, and student employees as appropriate. Serve as a mentor modeling professional behavior. Execute Insurance provider enrollment processes and set up. Execute Initial setup and maintenance of credentialing for all affiliated providers. Update and maintain all CAQH Provider Profiles. Proper use and assignment of billing codes. Knowledge of HIPAA regulations. Stay up to date on appropriate billing codes and procedures. Balance end of day according to clinic policies and procedures. Track payments from all sources including Touchnet, Clover, Zealous, Availity, WayStar, (and others) as well as Student Accounts. Obtain prior authorizations as needed for allied health provider services.Minimum QualificationsBachelor’s degree; or equivalent combination of training and experience. All degrees must be received from appropriately accredited institutions.Preferred QualificationsBasic office skills, supervisory skills and the ability to produce and evaluate data Ability to work independently and without instruction, to handle pressures, to prioritize work and stay focused in a busy environment, to make administrative decisions, to be patient and flexible in a demanding environment, and to provide instruction and oversight for graduate assistant students Special consideration will be given to individuals with knowledge of electronic health records, private-pay, third party and insurance billing, including claim submissions Special consideration will also be given to individuals with a certificate or associate’s degree in medical billing and coding.