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Billing Specialist II

Location: Harrisburg
Posted on: November 24, 2022

Job Description:

All About Hamilton Health CenterHamilton Health Center (Hamilton), established in 1969, is the only Federally Qualified Health Center (FQHC) within a 30-mile radius of Harrisburg, PA and continues to grow using a holistic and comprehensive approach to being patient centered. The mission of Hamilton is to improve the health of Central Pennsylvania's residents by delivering high quality, respectful and patient-centered health and related social services that promote access, treatment, education, and prevention regardless of health, economic, or insurance status. Our vision is that every member of our community, regardless of their ability to pay or their insurance status, receives holistic, quality health care needed to create a healthy community. For over 50 years we have been true to these words. As part of our team, you will work alongside a dedicated team that cares and values those we serve.Benefits offered: In addition to your base pay, you are also eligible to receive:Paid time off, Catastrophic (CAT)/Sick time, Birthday holiday, and 7 paid holidays.Medical, Dental & Vision,Company paid life insurance.Retirement PlanEmployee Assistance ProgramJob Summary: The Billing Specialist II position is responsible for the accurate and timely capture of all billing related information required for billing and data tracking purposes. This includes charge capture, provider education via flagging, billable and non-billable visit posting, claim submission, and A/R follow-up; medical or dental. Essential Duties and Responsibilities: Review and/or check-out of all visits; medical or dental, billable, and non-billable. Review to include check of applicable insurances applied to visit, including sliding fee. Accurate application of billing specific reimbursement codes, such as T-codes and G-codes.Timely posting of charge batches after check-out. Preparation of charge batches into claims batches, followed by submission to carriers via clearinghouse, paper, or hard key.Follows up on all claims you are responsible for to determine why payment was not issues; this would include errors, rejections, denials, and those lacking an insurer response.In person or over the phone, assists patients with billing related questions, Collects patient payments, over the phone or in person, and posts those payments.Keeps manager apprised of any issues or concerns and refers all non-routine cases for review and direction as outlined by the manager.Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations and HHC policies.Performs miscellaneous job-related duties as assigned.Minimum Qualifications:Must be well organized and detail oriented, be able to demonstrate solid knowledge of Physician and Dental service billing and collection practices. Have basic knowledge of medical coding and third-party operating procedures and practices and have strong knowledge of computer systems, and general business office procedures. High School degree or equivalent, with at least one year experience working as billing specialist in a comparable industry, additional education in medical billing and coding from an accredited technical school preferred. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities. PI196481413

Keywords: HAMILTON HEALTH CENTER INC, Harrisburg , Billing Specialist II, Accounting, Auditing , Harrisburg, Pennsylvania

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