Job Title: Medical Billing Specialist

Status / Time: Full-Time
Reports to: MA Supervisor
Pay: $16.50 - $24.00 per hour
Expected Hours: 40 per week

Job Summary:
We are seeking a diligent and detail-oriented Medical Billing Specialist to join our team. The ideal candidate will have a strong background in medical billing and coding, excellent organizational skills, and a commitment to supporting our mission of providing quality healthcare services to our community.

Key Responsibilities:

• Prepare and submit clean claims to various insurance companies either electronically or by paper.

• Follow up on unpaid claims within standard billing cycle timeframe.

• Check each insurance payment for accuracy and compliance with contract discount.

• Call insurance companies regarding any discrepancy in payments if necessary.

• Identify and bill secondary or tertiary insurances.

• Research and appeal denied claims.

• Maintain strict confidentiality and adhere to all HIPAA guidelines/regulations.

• Maintain accurate records of patient accounts, including payments received and outstanding balances.

• Provide excellent customer service to patients and their families by addressing billing inquiries and resolving any billing issues.

• Collaborate with other healthcare professionals within the center to ensure accurate and timely billing processes.

Qualifications:

• High school diploma or equivalent; Associate's degree in a related field preferred.

• Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS) certification preferred.

• Minimum of 2 years of experience in medical billing and coding.

• Proficiency with billing software and electronic medical records (EMR) systems.

• Strong knowledge of CPT, ICD-10, and HCPCS codes.

• Familiarity with insurance guidelines and medical terminology.

• Excellent communication and interpersonal skills.

• Strong attention to detail and organizational skills.

• Ability to work independently and as part of a team.

• Commitment to the mission and values of Ko'olauloa Health Center.

Benefits:

• Competitive salary commensurate with experience.

• Comprehensive benefits package including health, dental, and vision insurance.

• Retirement plan with employer match.

• Generous paid time off and holiday schedule.

• Opportunities for professional development and continuing education.

• Supportive and collaborative work environment.

• 401(k) matching.

• Dental insurance.

• Flexible spending account.

• Health insurance.

• Life insurance.

• Paid time off.

• Vision insurance.

Schedule:

• 8 hour shift.

• Day shift.

• Monday to Friday.

Work Setting:

• Clinic.

• Community health center.

• Medical office.

• Office.

Work Location:

• In person.

ADA Statement: The Americans with Disabilities Act prohibits discrimination and ensures equal opportunity for persons with disabilities in employment, state and local government services, public accommodations, commercial facilities, and transportation. It also mandates the establishment of TDD/telephone relay services.

EEO Statement: Ko‘olauloa Health Center believes that all applicants and employees are entitled to equal employment opportunities and maintains a policy of non-discrimination with respect to religion, color, sex, sexual orientation, national origin, age, veteran status, marital status, physical or mental disability, or any other legally protected class in accordance with applicable law, except where a bona fide occupational qualification exists.

Ko‘olauloa Health Center will comply with all phases of employment including, but not limited to, hiring practices, transfers, promotions, benefits, discipline, and discharge.

Disclaimer: The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel as qualified.

Ko‘olauloa Health Center is a drug-free and alcohol-free workplace.