BILLING SPECIALIST

Mountain View Hospital is looking for a Billing Specialist to join our team!

JOB SUMMARY:  Performs all duties related to the collection of accounts receivable. Establishes payment arrangements with patients in order to collect on accounts and is responsible for maintaining patient accounts from the time they are billed through receipt of payment. Leave notes on every accessed patient account. Refunds overpayments according to refund policy. Admits, charges, and bills each patient according to diagnosis code. Posts payments to patients’ account. Files all insurance according to state and federal guidelines. Checks with patient insurance to verify and obtain prior authorization before services are provided if required. Contact insurance to review patient benefits and calculate estimated patient portion.

BENEFITS:

Taking care of our community starts with taking care of our own team. Mountain View Hospital is proud to offer its employees competitive and comprehensive benefit packages. Benefits include:

• Medical, Dental and Vision Insurance
• Paid Time Off (vacation, holidays and sick days) and Medical Paid Time Off
• Retirement Plans (401K with up to 6% match)
• Earned Quarterly Bonus Program
• Education Reimbursement Program
• Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital

Please note benefits are based on eligibility according to full-time, part-time or PRN status classification.

DUTIES AND RESPONSIBILITIES:

1. Researches all information needed to complete billing process, including getting charge information from providers.
2. Codes information about procedures performed and diagnosis on charges.
3. Keys charge information into billing software program and produces billing.
4. Enters payments from insurance companies from EOB’s and patient payments.
5. Prepares bank deposits, records deposits, photocopies checks for entry into billing system.
6. Responsible for follow-up on accounts until zero balance or turned over for collections.
7. Assists with coding and error resolution.
8. Answers billing calls and helps provide patient information assistance when needed.
9. Reviews EOB’s/payments and verifies that accounts are being paid according to contract.
10. Sorts/files correspondence and maintains items in date order. Responsible to work and follow-up on reminders daily.
11. Processes non-clinical appeals on accounts when appropriate. Sends requests to medical records as needed.
12. Responsible for rebilling claims when required, contacting responsible party if additional information is requested for billing purposes, and notifying insured of insurance denials.
13. Processes denials from insurance EOB’s weekly.
14. Identifies problem accounts as well as claims processing delays and escalates to management.
15. Maintains various payer bulletins and educational updates in work area.
16. Attends/participates in all available educational opportunities to stay in compliance with insurance and government regulations.
17. Maintains patient confidentiality at all times.
18. Responsible for knowing policies and being familiar with services offered.
19. Performs other job-related duties as assigned by management.
20. The employee is required to comply with all PCI standards and other company policies and procedures for payment card acceptance and security.

ABOUT MOUNTAIN VIEW:

Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting edge care to our patients. We serve the entire Snake River Valley – all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice.

Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day. If you are looking for a career where you can make a difference in your community, we invite you to apply.

Education/Certification: High School Diploma or equivalent or higher. Must be CPC certified, or obtain CPC certification within 6 months of hire.

Experience: 1-3 months of related experience and/or training, or equivalent combination of education and experience.

Equipment/Technology: Able to use clinic billing system, EHR programs, and operate basic computer hardware and software.  

Language/Communication: Ability to read and communicate effectively in English. Bilingual is a plus. Ability to read and interpret patient financial statements and procedure manuals. Ability to write routine reports and other correspondence.

Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentages. Ability to draw and interpret illustrative graphs.

Mental Capabilities: Can regularly and consistently make sound judgments. Must be organized, attentive to details, critical thinker.

Interpersonal: Good communication and customer service skills; able and comfortable to collaborate with others to accomplish tasks.

Performance: Work well with deadlines and multiple projects simultaneously.