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Billing Specialist

Preferred Family Healthcare

Billing Specialist

Kirksville, MO
Full Time
Paid
  • Responsibilities

    WE'RE A GOOD FAMILY TO KNOW:

    Preferred Family Healthcare (PFH) is a community-based healthcare organization that offers a full array of integrated services, serving more than 100,000 individuals each year in nearly 100 locations throughout Missouri, Oklahoma, Kansas and Illinois.

    Our greatest reward has been the opportunity to serve families and communities in need for the past 40 years. At PFH, our future is brighter than ever! With changes in leadership, focused priorities and strong core values, PFH remains a “Good Family to Know!”

    YOUR ROLE AT PFH:

    As a Billing Specialist, you are responsible for a variety of billing functions to include but not limited to: processing, posting, batching, coding, auditing and other special projects as needed. As a Billing Specialist, you are responsible for accurately analyzing and processing medical bills according to state laws and contracts for the medical billing cycle. 

    You will:

    • Oversee in-house database, assuring up to date entry of all group logs, transfers, discharges and clinical reviews.
    • Review client's billable services, monitoring accuracy of the services provided (procedure codes), package authorizations and daily/weekly/monthly limits of services and accuracy of level changes.
    • Maintain and monitor internal designated mechanisms and reports to ensure accuracy/completion of admissions.
    • Monitor funding sources by completing Medicaid status review at admission, transfer, and at discharge.
    • Complete daily, weekly, and monthly audits as appropriate for assigned programs, checking billable services for overlaps by clients and providers.
    • Reconcile invoicing for Accounting Department, including balancing services, client fees/patient responsibility.
    • Review claim confirmations, making corrections to billable services or request appropriate information from programs.
    • Responsible for hand-keying services into database each billing cycle that cannot be submitted through batch process.
    • Deliver appropriate, timely reports to designated recipients regarding client admissions, discharges, and billable services.

    WE THINK YOU'D BE GREAT FOR THIS ROLE IF YOU HAVE:

    • High School diploma with courses in typing and business practices; AND
    • At least three (3) years experience in a secretarial or bookkeeping position, of which two (2) years includes experience with computers

    YOU'LL LOVE BEING A PART OF OUR FAMILY BECAUSE:

    Exerting up to 10 pounds of force occasionally (exists up the 1/3 of the time) and/or a negligible amount of force frequently (exists 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body.  

    Our eligible associates enjoy some of the following PFH Perks:

    • Comprehensive medical, dental, vision, life insurance and disability plan options
    • Competitive 401(k) Retirement Savings Plan – up to 5% match!
    • Company paid basic life insurance
    • Paid Time Off Program for vacation, holiday and sick time
    • Emergency Medical Leave Program
    • Flexible Spending Accounts – healthcare and dependent child-care
    • Health & Wellness Program
    • Employee Assistance Program (EAP)
    • Employee Discount Program
    • Mileage Reimbursement
    • License/Certification Reimbursement

    OUR HUMAN RESOURCES TEAM WANTS TO LET YOU KNOW WHAT'S REQUIRED:

    Exerting up to 10 pounds of force occasionally (exists up the 1/3 of the time) and/or a negligible amount of force frequently (exists 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body.  

    Employment is conditional upon the receipt of appropriate background checks. Upon offer of employment, you must grant permission for Preferred Family Healthcare to verify accuracy, legitimacy, and results in regards to the following conditions of employment:

    • Background check that includes criminal history and abuse/ neglect.
    • Motor vehicle driving record check.
    • Education and license/certification verification (if applicable).
    • Employment and/or personal reference checks.
  • Industry
    Government Administration