Position Details

Billing Specialist

POSITION TITLE: Billing Specialist

WORKSITE LOCATION: GBC Regional Plaza, 6502 Nursery Drive, Suite 100, Victoria TX 77904

STARTING PAY: $15.00/hour EEOC CODE: Admin Support Workers FLSA STATUS: Non-Exempt

SHIFT: Fulltime; Monday thru Friday, 8:00am - 5:00pm

EDUCATION AND EXPERIENCE REQUIRED: High School Diploma or GED equivalent; Preferred: Two years' experience in insurance billing and collections; previous medical billing experience with an electronic billing system and medical/billing/coding certification a plus.

JOB PURPOSE: Ensures accurate and timely processing and tracking of payments, resolves billing discrepancies, and addresses customer inquiries and concerns regarding billing.  Works with EHR Billing System for Texas Health and Human Services, Managed Care Organizations, Medicaid, Medicare, Health Maintenance Organizations, Preferred Provider Organizations, Commercial, and Private Insurance Payors. Responsible for collections of accounts receivable balances, maintenance of Payor Plans in the EHR System, generating monthly statements, assisting with posting insurance and customer payments in the EHR System, assisting with Credentialing Maintenance and Processing for Providers, and assisting with daily provider schedules.

KNOWLEDGE, SKILLS, ABILITIES, and COMPETENCY:

General Competencies:

  1. Must have knowledge of health business office environment with claim submission and accounts receivable.
  2. Work requires knowledge of healthcare coding, billing and collection processes including federal and state collection laws, legal collection practices and collection techniques at a level generally acquired through 2 to 3 years of on-the-job training or experience in billing Medicare, Medicaid, Managed Medicaid, Blue Cross Blue Shield, HMO, MCO, and Commercial insurance collections in a healthcare environment.
  3. Strong written and verbal communication skills to communicate clearly through email and telephone with strong interpersonal skills.
  4. Ability to solve problems and resolve issues.
  5. Previous medical billing experience with an electronic billing system a plus.
  6. Medical/Billing/Coding Certification a plus.
  7. Cross training with department functions.
  8. Ability to operate a computer, office equipment and office software to include Microsoft Word, Excel, Outlook, and Teams. Ability to type 40 wpm.
  9. Good organizational skills to achieve multiple deadlines.

PHYSICAL REQUIREMENTS and ENVIRONMENTAL CHECKLIST: Abilities required to perform the essential and marginal tasks of this job:  Walking, Operating office equipment, Standing, Light lifting (under 15 lbs.), Sitting,                                                 Ability to see, Identify colors, Light carrying (under 15 lbs.), Hearing (with aid), Straight pulling, Ability to write, Ability to count, Ability to read, Simple grasping, Ability to tell time.

Work site and environmental conditions that apply to this job: Travel by car 5% of time, Inside, Working closely with others, Working alone.

CRED/PRIV REQUIRED? No DRIVING REQUIRED: Yes

INTERPERSONAL RELATIONSHIPS:

  1. Interacts with employees' contractors, customers, community, family members, referral sources, governmental sponsoring and funding entities, program auditors, advocacy groups, and the media.
  2. Work behavior must be compatible with Center value statement and Policies and Procedures contributing to an environment of problem solving, building trust, conflict resolution, and customer service. Ability to perform tasks effectively and efficiently.
  3. Ability to plan and schedule work and implement directives without constant supervision.
  4. Ability to present a professional appearance and conduct when representing the Center.
  5. Ability to work cooperatively and productively with supervisor, individuals, co-workers, and groups of persons at all levels of activity, contributing to a strong spirit of teamwork.
  6. Ability to establish and maintain effective working relationships with staff, other agencies and the public using tact, courtesy, and good judgment.

OTHER REQUIREMENTS OR CONDITIONS:

  1. Current State of Texas Driver License or if you live in another state, must be currently licensed in that state. Liability insurance required.
  2. Must be insurable by Center's liability carrier if employee operates a Center vehicle or drives personal car on Center business.
  3. Safe driving record as defined by Gulf Bend Center.
  4. Must complete all training requirements prior to the due date. Attend required training and consortia meetings. Relias training and any other training required for the role is 100% compliant.
  5. Must maintain regular and reliable attendance, including compliance with the telework agreement. This is a full-time position. Days and hours of work are Monday through Friday, 8:00am to 5:00pm or agreed upon hours 100% of the time, to ensure consistency and completeness of the program's processes. Evening and weekend work may be required as job duties demand.

AAP/EEO STATEMENT:

Gulf Bend Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identify or expression, or any other characteristic protected by federal, state, or local laws.

This policy applied to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.