Billing & A/R Specialist
OnPoint Medical Group, Littleton, CO, United States
OnPoint Medical Group is searching for an outstanding Billing & A/R Specialist to join our team! Come join a great group of medical professionals as our network continues to grow! OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible. Our "Circle of Care" has one primary goal – to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs and medical records all interlinked and coordinated, patient care has never been in better hands.
Billing and A/R specialist requirements include full revenue cycle duties including submitting a clean claim and/or assisting with said submission, verify contractual payment is received and/or appealing a denial, answering patient phone calls and reviewing patient statements, working A/R.
Position Summary
The Billing & A/R Specialist is responsible for supporting all aspects of the revenue cycle, including claims submission, payment review, denial follow-up, appeals, patient account support, and accounts receivable management. This role requires strong attention to detail, knowledge of medical billing processes, and the ability to communicate effectively with patients, providers, and insurance carriers.
Essential Duties and Responsibilities
The following statements describe the essential functions of this role. They are not intended to be an exhaustive list of all duties, responsibilities, or qualifications required. OnPoint Medical Group reserves the right to modify job responsibilities at any time.
Accounts Receivable Collections and Management
Work directly with insurance companies, healthcare providers, and patients to ensure claims are processed accurately and paid in a timely manner.
Submit clean claims or assist with claim submission as needed.
Verify contractual payments and investigate payment discrepancies.
Review, correct, and appeal unpaid or denied claims.
Run and analyze A/R reports.
Work unpostables, denials, and claim worklists in accordance with Athenahealth best practices.
Respond to patient calls regarding billing questions and account statements.
Review and resolve outstanding accounts receivable balances.
Productivity Expectations
Resolve a minimum of 37 claims per day from assigned claim worklists. Goal may vary based on payor type, projects, other assignments etc.
Maintain accounts receivable balances at less than 180 days outstanding.
Answer patient billing calls based on assigned phone responsibilities and minimize voicemail backlogs.
Compliance and Policies
Perform duties in accordance with the standard Billing Compliance and Billing Guidelines.
Maintain and follow strict privacy, confidentiality, and safety standards.
Comply with all applicable governmental and regulatory requirements, including:
HIPAA
OSHA
PCI DSS
Administrative Support
Maintain a clean, organized, and professional work environment.
Distribute faxes and related documents to billing department staff, as appropriate.
Perform other administrative duties as assigned.
Qualifications
To perform this job successfully, an individual must be able to carry out each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Minimum Qualifications
High school diploma or equivalent
Strong computer skills
Minimum of 5 years of healthcare experience
Minimum of 1 year of medical billing experience
Preferred Qualifications
Some college coursework in medical administration, business, or accounting
Bilingual skills
Experience with electronic medical records (EMR), preferably Athenahealth Practice Management
Certified biller and/or coder preferred
Equivalent combination of 5+ years of billing, coding, or advanced insurance knowledge may be considered
Customer Service Expectations
Provide service that aligns with the mission and values of the clinic.
Demonstrate courtesy, professionalism, and respect when interacting with patients, family members, and colleagues.
Maintain patient confidentiality in accordance with company policy, procedure, and HIPAA requirements.
Follow appropriate chain-of-command procedures when addressing patient concerns or complaints.
Professional Attributes
High level of energy and adaptability in a fast-paced environment
Ability to make sound, fact-based decisions
Commitment to compassion, quality, loyalty, and conscientiousness
Ability to establish and maintain effective working relationships with patients, families, and staff
Supervisory Responsibilities
This position has no supervisory responsibilities.
Working Conditions And Physical Requirements
Regularly required to stand; use hands to handle or feel; reach with hands and arms; and talk or hear
Occasionally required to walk, sit, and stoop, kneel, crouch, or crawl
Frequently lift and/or move up to 10 pounds and occasionally lift and/or move more than 25 pounds
Specific vision abilities required include close vision, distance vision, and the ability to adjust focus
Work Environment
The statements above describe the general nature and level of work performed by employees assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. Employees may be asked to perform duties outside their normal responsibilities as needed.
Benefits Offered
Health insurance plan options for you and your dependents
Dental, and Vision, for you and your qualified dependents
Company Paid life insurance
Voluntary options for short-term disability, and long-term disability coverage
AFLAC Plans
FSA options
Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately
Paid Time-Off earned
Salary: $21 - $27 / hour. The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role.
OnPoint Medical Group is an EEO Employer.
#J-18808-Ljbffr
Billing and A/R specialist requirements include full revenue cycle duties including submitting a clean claim and/or assisting with said submission, verify contractual payment is received and/or appealing a denial, answering patient phone calls and reviewing patient statements, working A/R.
Position Summary
The Billing & A/R Specialist is responsible for supporting all aspects of the revenue cycle, including claims submission, payment review, denial follow-up, appeals, patient account support, and accounts receivable management. This role requires strong attention to detail, knowledge of medical billing processes, and the ability to communicate effectively with patients, providers, and insurance carriers.
Essential Duties and Responsibilities
The following statements describe the essential functions of this role. They are not intended to be an exhaustive list of all duties, responsibilities, or qualifications required. OnPoint Medical Group reserves the right to modify job responsibilities at any time.
Accounts Receivable Collections and Management
Work directly with insurance companies, healthcare providers, and patients to ensure claims are processed accurately and paid in a timely manner.
Submit clean claims or assist with claim submission as needed.
Verify contractual payments and investigate payment discrepancies.
Review, correct, and appeal unpaid or denied claims.
Run and analyze A/R reports.
Work unpostables, denials, and claim worklists in accordance with Athenahealth best practices.
Respond to patient calls regarding billing questions and account statements.
Review and resolve outstanding accounts receivable balances.
Productivity Expectations
Resolve a minimum of 37 claims per day from assigned claim worklists. Goal may vary based on payor type, projects, other assignments etc.
Maintain accounts receivable balances at less than 180 days outstanding.
Answer patient billing calls based on assigned phone responsibilities and minimize voicemail backlogs.
Compliance and Policies
Perform duties in accordance with the standard Billing Compliance and Billing Guidelines.
Maintain and follow strict privacy, confidentiality, and safety standards.
Comply with all applicable governmental and regulatory requirements, including:
HIPAA
OSHA
PCI DSS
Administrative Support
Maintain a clean, organized, and professional work environment.
Distribute faxes and related documents to billing department staff, as appropriate.
Perform other administrative duties as assigned.
Qualifications
To perform this job successfully, an individual must be able to carry out each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Minimum Qualifications
High school diploma or equivalent
Strong computer skills
Minimum of 5 years of healthcare experience
Minimum of 1 year of medical billing experience
Preferred Qualifications
Some college coursework in medical administration, business, or accounting
Bilingual skills
Experience with electronic medical records (EMR), preferably Athenahealth Practice Management
Certified biller and/or coder preferred
Equivalent combination of 5+ years of billing, coding, or advanced insurance knowledge may be considered
Customer Service Expectations
Provide service that aligns with the mission and values of the clinic.
Demonstrate courtesy, professionalism, and respect when interacting with patients, family members, and colleagues.
Maintain patient confidentiality in accordance with company policy, procedure, and HIPAA requirements.
Follow appropriate chain-of-command procedures when addressing patient concerns or complaints.
Professional Attributes
High level of energy and adaptability in a fast-paced environment
Ability to make sound, fact-based decisions
Commitment to compassion, quality, loyalty, and conscientiousness
Ability to establish and maintain effective working relationships with patients, families, and staff
Supervisory Responsibilities
This position has no supervisory responsibilities.
Working Conditions And Physical Requirements
Regularly required to stand; use hands to handle or feel; reach with hands and arms; and talk or hear
Occasionally required to walk, sit, and stoop, kneel, crouch, or crawl
Frequently lift and/or move up to 10 pounds and occasionally lift and/or move more than 25 pounds
Specific vision abilities required include close vision, distance vision, and the ability to adjust focus
Work Environment
The statements above describe the general nature and level of work performed by employees assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. Employees may be asked to perform duties outside their normal responsibilities as needed.
Benefits Offered
Health insurance plan options for you and your dependents
Dental, and Vision, for you and your qualified dependents
Company Paid life insurance
Voluntary options for short-term disability, and long-term disability coverage
AFLAC Plans
FSA options
Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately
Paid Time-Off earned
Salary: $21 - $27 / hour. The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role.
OnPoint Medical Group is an EEO Employer.
#J-18808-Ljbffr