Patient Billing Specialist

General Position Summary:

The Billing Specialist works as part of the administrative team and is responsible for assisting patients with billing inquiries, processing payments, and several other aspects of billing and financial duties within the organization.

Essential Duties and Responsibilities:

1. Assists patients with billing questions, problems in person or on the phone. Follow up on all calls, documenting as necessary.
2. Reconciles LabCorp Bills to ensure proper allocation of funds.
3. Working through the RPI LabCorp dx code online and an Excel spreadsheet.
4. Researches and processes patient refunds and/or credit balances.
5. Performs payment posting.
6. Responsible for working through Medicaid pending claims.
7. Evaluates accounts for collections activities.
8. Processes return mail and notes patient accounts of needed updates.
9. Responsible for cleaning up and monitoring old billing alerts on accounts.
10. Works through claim/action errors for coding corrections needed.
11. Maintains and assists all Patient Assistant Specialist staff with passwords and logins for insurance-related websites.
12. Ensures confidential information gained through job performance is kept confidential.
13. Must demonstrate good internal and external customer service skills.
14. Follows the supervisor’s instructions.
15. Physical attendance is an essential element of the job and necessary to perform the essential functions of the Billing Specialist.
16. Performs other duties as assigned.

Other Functions:

1. Staff members will abide by the Code of Conduct as documented in the Corporate Compliance Manual.
2. Must demonstrate a personal and professional commitment to Johnson Health Center and its mission.
3. Treats all patients and staff with dignity and respect, mindful of the cultural differences of the diverse population we serve.
4. Management may modify, add, or remove any job functions as necessary, or as changing organizational needs require.

JHC Core Values:

Staff members must actively demonstrate dedication and commitment to the core values of JHC.

1. Respect – We value and respect each patient, their family, ourselves, and each other.

Every individual associated with Johnson Health Center will be treated with dignity and respect. We value and respect people’s differences, show empathy to our patients, their families and each other, and work collectively to build Johnson Health Center as a health center and an employer of choice.

1. Integrity – We are committed to doing the right thing every time.

Our actions reflect our commitment to honesty, openness, truthfulness, accuracy and ethical behavior. We are accountable for the decisions we make and the outcome of those decisions.

1. Excellence – We will pursue excellence each and every day in activities that foster, teamwork, quality improvement, patient care, innovation, and efficiencies.

At Johnson Health Center, our medical, dental, pharmacy, behavioral health, front desk and administrative teams are passionately committed to the highest quality of care for our patients. We continually seek out ways to enhance the patient experience and promote an environment of continuous quality improvement.

1. Innovation – We value creativity, flexibility, and continuous improvement efforts.

We are advocates and instruments of positive change, encouraging employees to engage in responsible risk-taking and working to make a difference. Out of the box thinking enables us to build on successes and learn from failures.

1. Teamwork – We understand that teamwork is the essence of our ability to succeed.

We work across functional boundaries for the good of the organization. Our collaborative approach ensures participation, learning and respect and serves to improve the quality of patient care. By focusing on a team-based approach, the expertise of each Johnson Health Center employee is leveraged to optimize the patient experience.

Physical Demand and Working Environment:

Fast-paced office setting with travel to other offices often. Lifting and/or exerting force up to 15 pounds occasionally, with frequently moving of objects. Work requires speaking, sitting, bending, walking, standing, hearing, and stooping, kneeling, and repetitive motion with certain activities. 10 hours of constant computer usage. OSHA low-risk position.

1. High School diploma or equivalent.
2. Previous billing experience required.
3. Must be self-motivated with well-developed organizational skills and computer experience, including, but not limited to, Word, Excel, and database functions.
4. Must possess strong communication skills; works well with external organizations and employees.