POSITION TITLE: Billing Specialist (Temp Services/CSS)

SALARY RANGE: $20.00 - $25.00 Per Hour (35 hrs/weekly)

DEPARTMENT: Health and Community Wellness/FQHC

REQUIREMENT: Applicants must be City of Newark Residents.

SEND COVER LETTER & RESUME TO: williamss@ci.newark.nj.us ndunguj@ci.newark.nj.us cabreraw@ci.newark.nj.us

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JOB DESCRIPTION:

The Billing Specialist, a key position in the Revenue Cycle, manages the claims process, including accurate and timely claim filing, follow-up on correspondence with providers, insurance inquiries correspondence. The incumbent will assist in the clarification and development of process improvement and inquiries, assure payments related to patient services from all resources are recorded and reconciled timely to maximize revenues. Other important duties include reporting.

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JOB RESPONSIBILITIES:

• Prepare and submit clean claims to third-party payers.
• Maintains relationship with the clearinghouse, including appropriate follow – up with support services.
• Coordinate collection process, to include any projects from claims management accounts and tracking current collection sin EMR system
• Coordinate and administer policy and procedure for sliding fee scale
• Work with registration staff to ensure proper collection of copay and self-pay fees
• Handle patient inquiries and answer questions from registration staff and insurance companies
• Identifies and resolves patient billing problems
• Denial and insurance follow up management
• Issues adjusted, corrected and /or rebilled claims to third-party payers
• Post payments, adjustment, transfer of responsibility and refunds, as necessary
• Assure coding is compliant and up to date
• Reviews accounts and makes recommendations to the CFO/Billing Manager regarding uncollectible accounts
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
• Review patient records on a regular basis to determine if errors in payment or billing

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EDUCATION:

• Previous medical experience including knowledge of billing related reporting; 3 to 5 years
• Experience in healthcare billing & collection practices, preferably with an FQHC
• Experience with working with medical payers including Medicare, Medicaid, commercial insurance and Letter of Agreement (LOA)
• Experience with Medicaid State Eligibility System,
• Working knowledge of CPT and ICD-10 coding systems
• Excellent organizational skills
• Proficiency in Microsoft Office Suite
• An Associate Degree from an accredited university with credentials in billing/ coding preferred

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KNOWLEDGE AND ABILITIES:

• Knowledge of medical billing/collections practice required
• Works well in an environment with firm deadlines; result oriented
• Able to work both independently and as part of a team
• Capable of making timely, independent decisions
• Strong analytical skills required
• Perform multiple tasks effectively

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