Healthcare Billing Specialist

University of Minnesota - Office of Human Resources
Published
June 27, 2020
Location
Twin Cities, MN
Job Type
 

Description

All required qualifications must be documented on application materials.

REQUIRED QUALIFICATIONS:
1. High school diploma/GED and four years of general accounts transaction experience. Training may be substituted for some of the years of experience. Two years of healthcare claims reimbursement experience which must include a minimum of: (A) Two years of customer service, (B) Two years of processing claims for a health-care entity, (C) One year in electronic claim adjudications, (D) Two years of computer experience in a professional working environment.
2. Demonstrated/documented proficiency in working with computerized billing software, Microsoft Word, Microsoft Excel and other programs.
3. Demonstrated/documented attention to detail and persistence in completing tasks.
4. Demonstrated/documented ability to multi-task, organize tasks and prioritize.
5. Demonstrated/documented high-level oral and written communications skills to work with patients, staff, providers, and insurance companies.
6. Demonstrated/documented excellent customer service skills.
7. Demonstrated/documented ability to work with patients and staff from diverse cultures, languages, and backgrounds.
8. Demonstrated/documented capacity to work on a team and make positive contributions to the team.

PREFERRED QUALIFICATIONS:
1. Aptitude and/or interest in working with Medical, Dental, and Behavioral Health patients, providers, clinic staff, and insurance companies on the phone in billing office setting and/or in person within a clinic setting.
2. Fluency in one of CUHCC's predominant patient languages (Spanish, Somali, Vietnamese, Lao, Hmong)
3. Dentrix software experience.
4. Knowledge of Dental treatment plan and authorizations.
5. Experience working in a community clinic

A negative TB test is required for this position.

About the Job

OBJECTIVE/OVERVIEW:
CUHCC's mission is transforming care and education to advance health equity. The clinic is known for providing high quality care to diverse patients and is moving forward in improving timely access to care for patients. The Executive Accounts Specialist position ensures accurate Medical, Dental and Behavioral Health claims submission and reimbursements. The Specialist must be goal-oriented, revenue-driven, and self-motivated. The Executive Accounts Specialist must establish and maintain strong relationships with providers, clients, patients, and fellow staff. This position will also work as a resource for patients, providers, interpreters and clinic staff for medical, dental and behavioral health.

ESSENTIAL FUNCTIONS:
1. Billing/Accounts Receivable: (90%)
a) Working knowledge of Medical, Dental, and Behavioral Health claims benefits, submission and reimbursement including understanding of government program guidelines
b) Understanding of coordination of benefits between primary and secondary payers as well as submitting appeals
c) Understanding of copays, co-insurance, deductibles, and non-covered services
d) Utilize payer websites for claims status, eligibility & benefits, and appeals
e) Timely follow up with insurance on unpaid or denied claims
f) Effectively and professionally resolve claim issues with insurance companies by phone, website, email and mail; filing appeals where necessary
g) Reading and interpreting insurance explanation of benefits (EOBs)
h) Utilizing aging accounts receivable reports to follow up on all claims aged beyond 30 days
i) Make necessary arrangements for medical record requests and/or completion of additional information requests from insurance companies
j) Respond to all inquiries received from insurance companies, patients, and providers
k) Resubmissions or secondary billing of claims, corrected claims, void and replacement claims, correcting and refiling to proper insurance
l) Cross-training required for medical, dental, and mental health claims billing and collections
m) Identify, report, and escalate trends
n) Batching, dental coding, integrity review and submission of claims for medical, dental, and mental health
o) Responsible for compliance and accuracy with billing guidelines
p) Verification and follow up of provider documentation for completeness and accuracy for all claims prior to submission
q) Identify issues with background processes included but not limited to Medicare G codes, MN Vaccine, sliding fee scale, and dental supply cost
r) Responsible to keep updated with changes or processes and keep manuals updated on position responsibilities and duties
s) Work with clinic intake staff on issues regarding authorizations, insurance setup, insurance verification, documentation
t) Provide patients, providers, and clinic staff explanation of account balances, payment history, and insurance coverage as related to Medical, Dental, and Mental Health
u) Answer phone in the billing phone queue
v) Work on site at the clinic on a rotating basis to answer questions and help patients with billing issues and processing patient payments
w) Regularly meet with Supervisors to discuss and resolve reimbursement issues, billing and AR obstacles or trends
x) Attend and participate in weekly staff meetings and continuing educational sessions as requested
y) Perform additional duties as requested by Supervisor or Management team

2. Other duties as assigned. (10%)

Salary Range: $32,656 - $54,932.80

CUHCC reserves the right to change or add duties to this position consistent with the job classification.

About the Department

CUHCC serves nearly 11,000 patients a year through over 55,000 visits annually. The patient population comes from over 12 different racial and ethnic groups that span five continents. CUHCC's mission is to seek health equity in our community by advancing the well-begin of diverse people. Candidates must be able to adapt behaviors to others' styles; interact with people who have different values, cultures, or backgrounds; be of service to difficult people; optimize the benefits of having a diverse workforce.

Teamwork is an essential skill to promote synergy within the organization. Candidates must be able to share due credit with coworkers; display enthusiasm and promote a friendly group working environment; work closely with other departments as necessary; support group decisions and solicit opinions from coworkers; display team spirit.

Candidates must have excellent communication skills and be able to clearly present information through the spoken or written word; read and interpret complex information; talk with customers or clients; listen well.

Staff is expected to demonstrate a high level of service delivery; do what is necessary to ensure customer satisfaction; deal with service failures and prioritize customer needs.

How To Apply

Applications must be submitted online. To be considered for this position, please click the Apply button and follow the instructions. You will have the opportunity to complete an online application for the position and attach a cover letter and resume.

Additional documents may be attached after application by accessing your "My Activities" page and uploading documents there.

To request an accommodation during the application process, please e-mail employ@umn.edu or call (612) 624-UOHR (8647).

Diversity

The University recognizes and values the importance of diversity and inclusion in enriching the employment experience of its employees and in supporting the academic mission. The University is committed to attracting and retaining employees with varying identities and backgrounds.

The University of Minnesota provides equal access to and opportunity in its programs, facilities, and employment without regard to race, color, creed, religion, national origin, gender, age, marital status, disability, public assistance status, veteran status, sexual orientation, gender identity, or gender expression. To learn more about diversity at the U: http://diversity.umn.edu.

Background Check Information

Any offer of employment is contingent upon the successful completion of a background check. Our presumption is that prospective employees are eligible to work here. Criminal convictions do not automatically disqualify finalists from employment.

About the U of M

The University of Minnesota, Twin Cities (UMTC)

The University of Minnesota, Twin Cities (UMTC), is among the largest public research universities in the country, offering undergraduate, graduate, and professional students a multitude of opportunities for study and research. Located at the heart of one of the nation's most vibrant, diverse metropolitan communities, students on the campuses in Minneapolis and St. Paul benefit from extensive partnerships with world-renowned health centers, international corporations, government agencies, and arts, nonprofit, and public service organizations.

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