University of Minnesota Twin Cities
Billing Specialist
University of Minnesota Twin Cities, Minneapolis, Minnesota, United States, 55400
Objective/OverviewCUHCC’s mission is transforming care and education to advance health equity. The clinic is known for providing high quality care to diverse patients and is moving forward in improving timely access to care for patients. This position will focus on accurate claim submission, consistent follow-up of unpaid claims and appeals to insurance along with working as a resource for patients, providers, interpreters, and clinic staff. The ideal candidate is goal-oriented, revenue-driven, highly accurate and motivated with excellent customer service skills and a strong attention to detail.
The initial training period will be on location for 3 to 4 weeks, and upon successful completion of the training period, this will be a hybrid position, with 1 - 2 days of in-person work. This work arrangement is subject to change to meet departmental and clinic needs. The working hours are Monday - Friday: 8:30am-5:00pm.
Reporting Relationships: This position reports to the Revenue Cycle Supervisor.Pay for this position starts at $23.76 per hour, depending on experience.
Essential FunctionsPosition overview and functions may change as position develops.
Billing and Accounts Receivable Follow-Up (85%)Working knowledge of Medical, Dental, and Behavioral Health claim benefits, clean claim submission, and reimbursement.Understanding of Government program guidelines on claim submission and reimbursement.Prepare and submit clean claims to insurance companies. Responsible for compliance and accuracy within billing guidelines.Effective timely follow up on insurance claims including unpaid, denied or rejected claims.Use insurance websites for claim status and appeals.Understanding of Coordination of Benefits (COB) including resubmissions or secondary billing of claims, corrected claims, void and replacement claims, and refiling to insurance.Auditing accounts to ensure accuracy and/or claim correction to insurance as needed.Attend scheduled meetings with supervisor to report trends or issues with insurance reimbursement.Along with supervisor, develop and meet regular goals including meeting department accounts receivable metric standards as set by leadership.Other duties (10%)Professionalism and courteousness to patients and clinic staff, accepting and posting patient payments to the EHR system and answering questions on account.This role will be included in the billing team phone queue to assist patients with any billing questions, statements, and collecting payment.Ad hoc accounts receivable reports for projects.Attend team and company-wide meetings, ad hoc meetings, and one-on-one meetings with supervisor.Work with HIM to provide billing record requests and/or completion of additional information that may be requested from the patient, insurance, or legal representative.Other duties as assigned (5%)All required qualifications must be documented on application materials.Required QualificationsHigh school diploma/GED and four years of general accounts transaction experience. Training may be substituted for some of the years of experience.Two years of healthcare claims reimbursement.Two years of customer service.Experience with EHR (Electronic Health Records) and Microsoft Word & Excel.Preferred QualificationsKnowledge of Epic EHR.Post-secondary education credits in business or healthcare.Fluency in one of CUHCC’s predominant patient languages (Spanish, Somali, Vietnamese, Lao, Dari, Hmong).Knowledge of Federally Qualified Health Care Center (FQHC).Experience working in a community clinic.Experience with Sliding Scale Discount programs.Experience working remotely.Preferred experience in working with patients and staff from diverse cultures, languages, and backgrounds.Job duties are subject to change consistent with the job class.*A negative TB test and Hepatitis B vaccine are required for this position.
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The initial training period will be on location for 3 to 4 weeks, and upon successful completion of the training period, this will be a hybrid position, with 1 - 2 days of in-person work. This work arrangement is subject to change to meet departmental and clinic needs. The working hours are Monday - Friday: 8:30am-5:00pm.
Reporting Relationships: This position reports to the Revenue Cycle Supervisor.Pay for this position starts at $23.76 per hour, depending on experience.
Essential FunctionsPosition overview and functions may change as position develops.
Billing and Accounts Receivable Follow-Up (85%)Working knowledge of Medical, Dental, and Behavioral Health claim benefits, clean claim submission, and reimbursement.Understanding of Government program guidelines on claim submission and reimbursement.Prepare and submit clean claims to insurance companies. Responsible for compliance and accuracy within billing guidelines.Effective timely follow up on insurance claims including unpaid, denied or rejected claims.Use insurance websites for claim status and appeals.Understanding of Coordination of Benefits (COB) including resubmissions or secondary billing of claims, corrected claims, void and replacement claims, and refiling to insurance.Auditing accounts to ensure accuracy and/or claim correction to insurance as needed.Attend scheduled meetings with supervisor to report trends or issues with insurance reimbursement.Along with supervisor, develop and meet regular goals including meeting department accounts receivable metric standards as set by leadership.Other duties (10%)Professionalism and courteousness to patients and clinic staff, accepting and posting patient payments to the EHR system and answering questions on account.This role will be included in the billing team phone queue to assist patients with any billing questions, statements, and collecting payment.Ad hoc accounts receivable reports for projects.Attend team and company-wide meetings, ad hoc meetings, and one-on-one meetings with supervisor.Work with HIM to provide billing record requests and/or completion of additional information that may be requested from the patient, insurance, or legal representative.Other duties as assigned (5%)All required qualifications must be documented on application materials.Required QualificationsHigh school diploma/GED and four years of general accounts transaction experience. Training may be substituted for some of the years of experience.Two years of healthcare claims reimbursement.Two years of customer service.Experience with EHR (Electronic Health Records) and Microsoft Word & Excel.Preferred QualificationsKnowledge of Epic EHR.Post-secondary education credits in business or healthcare.Fluency in one of CUHCC’s predominant patient languages (Spanish, Somali, Vietnamese, Lao, Dari, Hmong).Knowledge of Federally Qualified Health Care Center (FQHC).Experience working in a community clinic.Experience with Sliding Scale Discount programs.Experience working remotely.Preferred experience in working with patients and staff from diverse cultures, languages, and backgrounds.Job duties are subject to change consistent with the job class.*A negative TB test and Hepatitis B vaccine are required for this position.
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