Offer summary

Qualifications:

High School Diploma or equivalent required., 1 year experience in healthcare or accounting setting, or completion of medical coding and/or billing courses., 3-5 years related experience preferred, especially in claims, insurance, or patient accounting., Strong understanding of Medicare, Medicaid, and Third Party Payor regulations..

Key responsabilities:

Prepare and submit claims to Medicare, Medicaid, and Third Party carriers accurately and timely.

Research and apply new regulations to maximize reimbursement and ensure compliance.

Educate hospital personnel on billing regulations and their impact on reimbursement.

Conduct follow-ups with payers to ensure timely reimbursements for accounts.

Job description

Current Saint Francis Colleagues - Please click HERE to login and apply.

JOB SUMMARY

The Medical Billing Specialist is responsible for the timely and accurate preparation of claims within their access for submission to Medicare, Medicaid and Third party carriers. Preparation of claims include, but are not limited to, researching, learning, maintaining and applying new and changing regulations as mandated by Federal and Third Party Payors to maximize reimbursement and ensure compliance. Providing education to other hospital personnel of regulations & requirements and the impact it has on reimbursement and billing. The Medical Billing Specialists are responsible for comprehensive follow-up with payers on timely reimbursements for accounts. The Medical Billing Specialist lives the Mission, Vision, Values and Philosophy of the department and Saint Francis Healthcare System. Constantly works with and maintains restricted or confidential information from many sources within the medical center. Any and all jobs as assigned by Assistant Manager, Manager or Director.

JOB DETAILS AND REQUIREMENTS

Remote work

Will ONLY consider candidates from the following states: MO, IL, TN, AR, GA

Education:

High School Diploma or equivalent required

Certification & Licensures:

- 1 year experience in the healthcare or accounting setting, or
- Applicant has successfully completed medical coding and/or billing course(s)

Experience:

- 3-5 year related experience (healthcare or accounting) preferred
- 1-3 years direct experience involving claims, insurance, or patient accounting preferred

Saint Francis Healthcare System is committed to a compensation philosophy that aligns to the fiftieth percentile of the marketplace, while also crediting applicable and/or relevant work experience when computing compensation offers for selected candidates. Internal equity is factored into all offers presented to candidates.

Minimum hourly rate: $15.00/hour

A relevant and up to date general benefits description may be found on our website:

https://www.sfmc.net/careers/benefits/

ADDITIONAL INFORMATION

Saint Francis Healthcare System provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, or genetics. In addition to federal law requirements, Saint Francis Healthcare System complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

In compliance with the ADA Amendments Act (ADAAA) should you have a disability and would like to request an accommodation in order to apply for a currently open position with Saint Francis Healthcare System, please call 573-331-5152 or email us at hr@sfmc.net.

Saint Francis Healthcare System supports the overall health and wellness of our colleagues by discouraging the use of tobacco and nicotine products. If you are selected for a career opportunity with our organization, and are a tobacco or nicotine user, you will be required to complete a tobacco/nicotine cessation program within your first year of employment. This program is free of charge as part of our Employee Assistance Program.

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