Lead Billing Specialist in Sartell, MN at Alltran

Date Posted: 5/30/2018

Job Snapshot

Job Description

ABOUT US

The Alltran Health’s Extended Business Office is a patient-centric, customizable revenue cycle management solution that meets the needs of our client’s specific demographic, dedicated to our client’s financial services policies which may include the following:

  • Pre-service coverage and cleanup
  • Custom cleanup projects and consulting services
  • Medicaid eligibility and Self Pay collection services
  • Benefit determination
  • Managed care enrollment
  • Patient statement production
  • Customized business intelligence reports

 

SUMMARY

 

Alltran has an opening for a Lead Medical Billing Specialist in our Extended Business Office Service Line (EBO). Working under general supervision, provides revenue cycle services to existing clients.  This position will be responsible for assisting the supervisor in team development, auditing and supporting the overall team goals.  Responsible for gathering patient information needed to provide services such as following up on complex claim issues, pre-registration, customer service, pre-authorization, and self-pay balance resolution if applicable.  Work will be assigned via a work queue in the clients electronic health record system as well as Alltran inventory management system.

 

RESPONSIBILITIES 

  • Reduce outstanding accounts receivable by managing claims inventory
  • Speak to patients and insurance companies in a professional  regarding their outstanding balances
  • Gathers information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for services
  • Requests, inputs, verifies, and modifies patient’s demographic, primary care provider, and payor information
  • Utilizes tools, including computer programs, when indicated
  • Provides excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.
  • Answers questions by phone and provides quotes for services identifies financial resources, etc. in accordance with the client policies and procedures
  • Utilizes various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.
  • Inputs, retrieves, and modifies information and data stored in computerized systems and programs; generates reports using computer software
  • Explains charges, answers questions, and communicates a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies
  • Works with Claims and Collections in order to assist patients and their families with billing and payment activities in order to increase cash flow
  • Demonstrated organizational skills and the ability to prioritize and manage tasks based on established criteria 
  • Excellent verbal and written communication and interpersonal skills
  • Ability to work independently with minimal supervision, within a team setting and be supportive of team members
  • Proficient with Microsoft Office  
  • Ability to analyze issues and make judgments about appropriate steps toward solutions
  • Assist supervisor in training and development of other team members
  • Assist supervisor in Quality Auditing
  • Participate as needed in client calls and meetings 
  • Other duties as assigned

Job Requirements

QUALIFICATIONS

 

Minimum Qualifications:

  • Has successfully completed Alltran’s Career Level 2 or higher.
  • Meets or exceeds Alltran’s production and quality expectations.

-OR-

  • Two years of experience in customer service involving complex analytical problem-solving skills
  • One year experience in a call center with emphasis in a customer service/medical industry
  • An approved equivalent combination of education and experience
  • Knowledge of medical terminology and medical scheduling is preferred

Preferred Qualifications:

  • CRCR (Credentialed Revenue Cycle Representative) preferred

 

Knowledge/ Skills/ Abilities:

  • Self-motivated
  • Creative and likes the challenge to solve a situation and bring it to resolution.
  • Goal oriented
  • Knowledge of patient billing claims process
  • Ability to communicate with patients and families under sometimes stressful circumstances
  • Strong and professional telephone communication skills
  • Experience with electronic health record or similar software program
  • Knowledge of payor programs
  • Knowledge of applicable federal and state regulations

 

Health Benefits

  • Cafeteria-style medical plan with HRA
  • Employee assistance program
  • Wellness program
  • Fitness center
  • On-site wellness coordinator.

Financial benefits

  • Life insurance
  • Profit sharing
  • 401(k) plan 

Lifestyle benefits

  • Paid time off
  • Paid holidays
  • Corporate discounts
  • Community service opportunities. 

 

 

Disclaimer: 
This position description is not intended, and should not be construed, to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to be an accurate reflection of those principle job elements essential to the job.

Alltran provides Equal Employment Opportunities (EEO) to all employees and applicants for employment. Alltran does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, physical or mental disability, marital status, genetic information, or any other characteristic protected by federal, state, or local law, ordinance, or regulation

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