Billing Specialist 1 - Pb 1 0 Ft

**Phelps Health is a 2000-employee-strong hospital and healthcare system serving the heart of small-town Missouri.** No matter where you start with us, we’re committed to taking our team to the top. If you’re ready for the challenge of providing life-saving care or supporting those who do, read on to find your fit in the Phelps Health family. **General Summary** * The Billing Specialist I is responsible for collecting and entering claims, post insurance, submit claims, and answer patient inquiries on accounts. Reports to the Billing Supervisor. **Essential Duties and Responsibilities** * Enters information necessary for insurance claims such as patient, insurance, and insurance ID. Insures claim information in complete and accurate. * Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper UB04 and/or CMS-1500 form. * Answers patient questions on patient responsible portions, copays, deductibles, write-off's, etc. resolves patient's complaints or explains why certain services are not covered. * Follow up with insurance company on unpaid or rejected claims. Resolves issues and re-submits claims. * Prepares appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany letter. * Follows HIPAA guidelines in handling patient information. * May perform "soft" collections for patient past due accounts. This may include contacting and notifying patients via phone or mail. * Understand managed care authorizations and limits to coverage such as number of visits. * Verify patient benefits eligibility and coverage as needed. * Prepares and submits secondary claims upon processing by primary insurer. * Standards of Behavior * Integrity: I believe in being personally accountable for doing what is always right. * Compassion: I believe in acting on the empathy felt toward the needs of patients and families. * Innovation: I believe in being inspired to provide care in new and creative ways. * Philanthropy: I believe in being a good steward of the gift of time, deeds and resources for our patients and community. * Job Qualifications **Education** * High School Diploma or GED required. **Work Experience** * Medical billing experience highly preferred. Experience in billing software and electronic data submission preferred. **Certification/License** **Mental/Physical Requirements** * Ability to receive and express detailed information through oral communications, visual acuity, and the ability to read and understand written directions. Normal mental concentration with repetitive operations for a long period of time. Ability to stand, walk, sit, and reach. Occasionally lifts and transports items weighing up to ten (10) pounds. . **Working Conditions** * Standard office conditions with more than average noise. Periodic contact with conditions such as fumes, noise, chemicals, hazards, and/or diseases. _At Phelps Health, we think we have a better team, benefits, and opportunities for growth than anyone else around, and we invite you to see for yourself! Apply now to join us on our mission in health care._