Medical Billing and Coding Specialist

PALSS Columbia, South Carolina
medical medical billing billing insurance billing medical providers health assistance quality assurance assurance title insurance insurance billing
September 24, 2022
PALSS
Columbia, South Carolina
FULL_TIME

POSITION TITLE: Insurance Support Specialist

REPORTS TO: Insurance and Billing Coordinator

WORKS WITH: Medical providers and service providers including physicians, nurse practitioners, behavioral health providers, other medical assistants, counseling and testing staff, prevention and outreach specialists, other agency, lab, insurance, Health Department and partner organization staff.

CONSUMERS: Persons at risk for and persons living with HIV/STI/Hepatitis infection

POSITION PURPOSE: Serve as point of contact for clients/patients, agency staff and vendors for issues related to insurance, patient assistance programs, third-party billing and records management. Uses administrative skills to assist with accurate and records maintenance

  • Secure patient information and ensure patient confidence by completing and safeguarding patient information.
  • Complete diagnostic coding and procedure coding.
  • Record billing information of services rendered, complete insurance forms and respond to insurance or other third-party inquiries.
  • Follow standards and procedures to ensure safe, secure, and healthy work environment.
  • Inventory supply stock, place orders and verify receipt.
  • Ensure timely application for pharmacy or insurance assistance programs or other patient assistance programs.
  • Ensure timely application and follow-up of insurance enrollment, open enrollment and recertification processes.
  • Conduct 340B program weekly internal audits and ensure program compliance.
  • Assist with EHR quality assurance.
  • Participate with quality assurance team.
  • Ensure confidentiality of documents and other patient information.
  • Be familiar with and adhere to HIPAA and OSHA requirements.
  • Participate in program and agency meetings or training as requested or required.

· Other duties as requested or required.

QUALIFICATIONS

The successful candidate will have a current certificate in Medical Billing and Coding. Previous experience is a plus. Must be computer literate and have demonstrated ability to be culturally sensitive and appropriate in working with others. Must demonstrate respect for diversity and demonstrate professional, courteous, helpful customer service. Candidate must have excellent written and verbal communications skills. Ability to life up to 10 pounds.

Job Type: Full-time

Pay: $13.00 - $19.00 per hour

Benefits:

  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • Monday to Friday

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