Indian Creek Foundation
  • Souderton, PA, USA
  • Full Time

Medical, Dental, Vision, 401-K with company match, Wellness Program, EAP, Tuition Reimbursement and friendly work environment


The Medical Billing Specialist II will report directly to the Accounts Receivable Supervisor. 

Essential Duties:

  • Verify and enter new consumer demographics into software. Verify insurance information, check eligibility and benefit information.
  • Work with program staff to obtain authorizations. Retrieve authorizations and verify accuracy with plan of care. Enter authorizations into software.
  • Run billing reports, to check for errors and work with the program staff to correct those errors.
  • Process billing to primary insurance by creating electronic 837 files or paper CMS 1500 forms. Submit billing through clearing house for processing.  
  • Manage claim rejections through clearinghouse website.
  • Review and apply payments and denials from explanation of benefits as needed.
  •  Submit billing to secondary insurance as needed.
  •  Serve as backup for other accounting department functions as assigned.

Other Duties:  

  1. Assist the supervisor with various administrative tasks to support department operations as directed; may also be assigned special projects.
  2. Perform tasks which are supportive in nature to the essential functions of the job, but which may be altered or redesigned depending upon individual circumstances.
  3. Meet on-going requirements to maintain current training certifications.

Education/Training: High School diploma required or equivalent business experience and non-Profit back ground preferred.

 Skill(s): Proficient in Excel and Electronic Health Record (EHR) software applications. Ability to generate and prepare reports.  Ability to work independently and collaboratively within a team environment. Able to multi-task and meet deadlines. Excellent problem-solving skills and attention to detail.

 Experience: At least one year of Medical Billing Experience Preferred

 

Indian Creek Foundation
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