Billing Specialist

Siskiyou Community Health Center has an opening for Billing Specialist at our administrative office in Grants Pass.
POSITION SUMMARY: The Billing Specialist is responsible for posting patient and insurance payments, processing insurance denials, and working aged reports.
DUTIES AND RESPONSIBILITIES: Prepares and processes insurance claims including Medicare, Medicaid, and private insurance.
Reviews EOBs for denials, identifies problems, contacts insurance companies and resubmits as required to ensure maximum reimbursement.
Receives and posts payments to patient accounts.
Reviews and verifies insurance claims and prepares refunds as appropriate.
Prepare daily deposits.
Prepares patient statements.
Monitors reimbursement of selected procedures or payers, identifies changes in payment and reimbursement patterns, claims lag, or other changes and recommends corrective action to Billing Office Manager if necessary.
Identifies and resolves patient billing complaints.
Answers inquiries and correspondence from patients and insurance companies.
Attends required meetings and trainings and shares information with coworkers.
Processes adjustments per protocol.
Scanning of billing department documents.
Confidentiality, punctuality, excellent attendance, and ethical conduct are required.
Completes other duties as assigned.
QUALIFICATIONS, EDUCATION AND EXPERIENCE: High school diploma or equivalent.
Minimum 6 months related experience.
Computer competency, including word processing and data entry.
Knowledge of accounts receivable practices, medical and dental office billing procedures; knowledge of coding, medical and dental terminology, and clinic operating policies and procedures.
Effective customer relations skills, demonstrating the ability to work with diverse groups in a stressful environment, and displaying an understanding of group dynamics.
Strong organizational skills and effective use of time.
PHYSICAL DEMANDS: Lifting, bending, reaching, pushing, carrying, sitting, and driving an automobile.
Vision and hearing corrected to within normal range.
Physical mobility within clinic.
HAZARDOUS CONDITIONS: Minimal exposure to infectious diseases.
WORKING CONDITIONS: 100% office-based.
Occasional evening or weekend work required.
Periodic state and national travel.
MACHINES, EQUIPMENT, TOOLS and SUPPLIES USED: Computer, printer, calculator, fax machine, copier, multi-line phone system, private automobile, and/or cellular phone.