Billing Specialist

Covenant Physician Partners is hiring a full-time Billing Specialist to join our medical billing office in Honolulu, Hawaii.
About the Opportunity This position will work closely with the Revenue Cycle Manager and will be responsible for all aspects of the Revenue Cycle, including but not limited to: insurance verifications, billing, insurance and patient collections, coding, cash payment posting, and patient services.
Essential duties and responsibilities include: Research and resolve patient issues, respond to inquiries by center staff regarding patient account issues, and assist with weekly patient statements.
Conduct insurance verification and validation on all ASC scheduled patients to ensure eligibility and benefits are in order for accurate claim submission and payment.
Communicate with patients in advance of their procedure regarding the patient's financial responsibility (co-pay) due at the time of the procedure.
Work with management in identifying, researching, and resolving issues which may lead to inaccurate or untimely filing of claims, claim rejections, and/or other billing and collections issues which may arise.
Meet and/or exceed the daily production goals as defined by the Revenue Cycle Manager.
Assist management team in providing training, assistance, and/or guidance to other staff members in issues of accounts resolution through billing, collections, and/or denial processing techniques.
Compile and submit claims to insurance companies based on data provided by the medical coders.
Review first initial claim scrub and billing to the clearinghouse utilizing billing and practice management software.
Validate claims and make necessary corrections to send out clean claims to the payers electronically and/or via paper.
Employ effective and efficient billing techniques, and self-directed initiative, to resolve all types of billing edits.
Resolve disputed balances in our billing and practice management software.
Process credit card transactions.
Post all payments and adjustments to the specified patient account in accordance with current policy and procedure.
Ensure accuracy of posting by balancing deposit totals to system generated report.
Properly close all assigned batches in a timely manner.
Maintain daily posting logs and reconciliation.
Work with management and other revenue cycle staff to improve processes to increase accuracy and efficiency.
Read, understand and adhere to company Associate Handbook.
Handle incoming calls on a daily basis, exhibiting excellent customer services skills.
Research and resolve account issues utilizing management and tools provided.
Escalate issues as appropriate.
Research and respond to inquiries by Center Staff regarding patient account issues.
Review and audit revenue functions in current operating system and report issues as appropriate.
Respond to emails in a timely manner and work reports daily.
This position requires that the employee present an example of appropriate work habits, behavior, and positive attitude toward co-workers and administration.
Regular and reliable attendance.
Exhibit continual adherence to policies and regulations regarding HIPAA and Electronic Patient Health Information (EPHI).
Deal effectively with a diversity of individuals at all organizational levels.
Other duties as assigned by Management.
About the Candidate Ability to read and evaluate Healthcare Receivables Information.
Understanding of co-pay, coinsurance, and deductibles and intermediate to expert experience in electronic claim submission and edit resolutions, third party payer insurance verification, collections and denial resolution process.
Basic knowledge of medical terminology specifically relating to Gastroenterology recommended but not required.
Knowledge of revenue cycle processes including: health insurance verifications, billing, collections, and cash posting functions.
Excellent organizational and time management skills.
Strong analytical and problem solving skills.
Ability to operate a computer, learn new types of software and systems, and proficiency in typing on a QWERTY keyboard and 10-key numeric pad required.
Ability to use the telephone to place and receive calls and use fax to send or receive documents.
Proficiency with Word, Excel, Outlook required.
Proficiency in reading, writing, and communicating in English.
Bilingual skills are a plus.
What We Offer Generous paid time off in addition to national holidays, two floating holidays, and a birthday holiday Medical, Dental, and Vision insurance after 30 days of employment Voluntary employee and dependent life plans Short and Long-term disability Health Savings Account and Flexible Spending Account eligibility Critical Illness, Accident, and Hospital Indemnity insurance $250 of professional development funds provided every year Tuition Reimbursement up to $5,250 annually Free counseling sessions through our Employee Assistance Program Invest in your future with a company match on your 401k Associate discounts at major retailers such as Amazon Prime, Costco, and Sam’s Club Travel discounts with Hertz and Liberty Mutual Verizon Wireless discounts Free legal assistance through RocketLawyer Pet Insurance RN.
com subscription reimbursement Access to our free mental wellness program – Sibly #IND1