Billing Specialist

  About Bluebird Kids Health

Bluebird Kids Health is a dynamic organization that provides underserved communities with new access to value based pediatric primary care. We are on a mission to provide exceptional care, so every child can thrive. We offer comprehensive, evidence-based primary and urgent care services to children and their families, with support around-the-clock. Our care model includes robust care coordination, chronic disease management, and other population health supports. Our success is measured by exceptional health outcomes, lower medical costs, an outstanding child and family experience, and a rewarding environment for our clinicians and teams.

Immediate Supervisor:  Billing Supervisor 

General Job Summary:  Primary responsibilities include posting and monitoring payments from insurance and patient payments.  The individual will respond to customer and payer inquiries and concerns in a timely manner, perform claims follow-up activities and perform special projects as directed.

Essential Job Responsibility: 

• Performs appropriate billing/payment posting functions as assigned.
• Ensures pertinent information relating to patient accounts and/or payer interaction is documented accurately in the EMR.
• Processes account adjustments when applicable 
• Uses customer service principles and techniques to deal with patients calmly and pleasantly and assist with billing questions or issues.
• Follows up on unpaid or improperly paid claims as necessary.
• Processes appeals and performs reimbursement analysis as directed by supervisor.
• Works with front desk staff to ensure appropriate collection of co-pay and self-pay fees.
• Assures coding is compliant and up to date.
• Maintains strict confidentiality; adheres to all HIPAA guidelines/regulations.
• Prepares and submits clean claims to third party payers either electronically or by paper.
• Monitors Claims buckets
• Runs balance report and identify accounts needing attention
• Performs other duties as assigned

Education:  High school diploma or equivalent with excellent computer skills  

Experience:  Medical billing experience preferred 

Knowledge: 

• Knowledge of medical terminology
• Working knowledge of CPT, ICD-10 coding systems and modifiers
• Knowledge of customer service principles and techniques.

Skills: 

• 2+ years of billing and coding experience
• Excellent interpersonal skills, including friendliness, empathy, patience, kindness, politeness and helpfulness
• Strong attention to detail

Abilities: 

• Ability to work independently and as part of a team with a strong sense of focus
• Ability to communicate calmly and clearly with patients and payer representatives. 
• Ability to analyze situations and respond appropriately.