Purpose:

The Medical Billing Specialist is responsible for a variety of accounting functions for client billing, including verification of eligibility information, and resolution of a variety of problems. They follow up on submitted claims and patient billing, including resubmitting claims and resolving problems.

Key Responsibilities:

Duties and Responsibilities:

Follow up on unpaid or denied claims, verification of eligibility.

· Research and respond by phone and writing to insurance coverage and billing issues.

· Run monthly reports to follow up on claim status with the various payors.

· Verify and ensure current insurance coverage or payment source is updated in the system.

Collection and accounts receivable responsibility by monitoring and maintaining the receivable aging accounts.

· Review delinquent accounts and initiate appropriate collection action including telephone calls and correspondence to payers.

· Follow up on submitted claims, monitor unpaid claims, resubmit claims as necessary and communicate with staff regarding billing and collection matters.

Other duties as assigned

· Special projects as assigned by Billing Manager

· Other Key billing office operations

Required Skills/Abilities:

· Knowledge of medical terminology, medical insurance claims, billing procedures, and documentation.

· Intermediate problem-solving and analytical skills including the ability to research issues and gain additional information in order to resolve issues.

· Ability to communicate and collaborate effectively with external contacts including county financial workers, Department of Human Services help desk, and health insurance companies.

· Capable of setting priorities and meeting deadlines consistently.

· Proficiency with a variety of web-based software and databases, including Microsoft Office Suite, electronic health records systems (Guild uses Credible), electronic health care billing platforms in general, and third-party billing systems.

Working Conditions:

· Work is performed in an office environment.

· Prolonged periods at a desk, working on a computer.

· The ability to lift and carry heavy weights that could be up to 25 pounds.

Education and Experience:

Required

· High school diploma or GED.

· 1 year of full-time, relevant experience working in medical billing.

Preferred

· Experience using the State of Minnesota website, MN-ITS, the Department of Human Service’s billing system for providers enrolled in Minnesota Health Care Programs (MHCP).

· Prior experience working in collections related to medical billing.

· Post-high school technical training is desirable.

Additional Requirements:

· Must not be actively receiving services from Guild and must not have received services within the last two years.

· A valid Class ‘D’ Driver’s License, reliable vehicle, satisfactory driving record and necessary insurance.

Guild’s Employer Promise

We know you do your best work when you feel supported and have the flexibility to meet all of life’s demands, no matter what those demands might be. Guild is an environment where your emotional, physical, and social wellbeing matters. A place where we’re motivated to care for each other and to work together to make a difference in the lives of our clients. We show up for our clients and we show up for each other. And Guild shows up for you.

About Guild

Guild is a Minnesota not-for-profit 501(c)(3) organization that empowers those living with mental illness and/or experiencing long-term homelessness by helping them find the tools they need to lead stable, fulfilling lives in communities of their choosing.

Benefit Highlights

Guild Services offers a range of benefits, including medical, dental, and vision coverage; flexible spending, HSA, short and long-term disability; Paid Time Off; paid holidays; wellness hours; 403(b); life insurance; and more. Eligibility requirements and other terms and conditions apply.

The salary range for this position is between $23.00 and $25.00 per hour. The range reflects the minimum and maximum salary for the position. Compensation will depend on the candidate’s professional experience, skills, and relevant education, training, and certifications.