Job Description

The Billing Specialist is responsible for ensuring all accounts are processed through insurance properly, and patient accounts are paid in a timely manner. Billing Specialists should be familiar with ethical billing practices and are responsible for maintaining hundreds of patient accounts to ensure payment.

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

• Understand the complex billing system of the EHR solution and how it impacts our financial statements, from service entry, to billing and payment.
• Check insurance benefits and eligibility for all new and existing patients and communicate these benefits with the team and update patient’s registration.
• Process credit card payments for co-pays and other patient responsibilities.
• Work with patients with past due accounts to set up payment plans.
• Investigate denied claims for successful processing & receipt of payment from insurance.
• Submit claims in a timely manner.
• Email providers and / or respective staff with questions pertaining to billing issues.
• Provide excellent customer service.
• Work to reduce aging and average days in AR.
• Respond to payer inquiries in a timely manner.
• Review provider billing entries and documentation to ensure accuracy.
• Attend training and meetings as scheduled.
• Provide guidance and training for other departments’ staff as required.
• Maintain up-to-date knowledge of ever-changing State billing regulations.
• Maintain up-to-date expertise and knowledge of healthcare and mental health billing rules and regulations, including CPT and ICD coding.
• Work with the billing team to create more efficient workflows.

Key Competencies

• Commitment to driving diversity, equity and inclusion
• Excellent verbal and written communication skills
• Excellent organizational skills and attention to detail
• Excellent time management skills with a proven ability to meet deadlines
• Strong critical thinking skills
• Proven strategic agility, ability to succeed in a fast-paced, continuously evolving environment
• Ability to adapt to the needs of the organization and employees
• Thorough knowledge of employment-related laws and regulations
• Proficient with Microsoft Office Suite or related software
• Experience in EPIC as EMR system
• Understand FQHC medical billing process
• Confidence, professional judgment, and grace under pressure.
• Works well independently and as part of the team.

Supervisory Responsibilities

This position does not have any supervisory responsibilities.

Work Environment

Primary environment is home office, administrative office, or clinical office. This role requires regular walking. This role may come into contact with patients who may have contagious illnesses.

Physical Demands

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift 15 pounds at times.

Travel Requirements

Must have the ability to travel between MCC sites in the St. Paul/Minneapolis metro area.

Who We Are
As Minnesota's largest Federally Qualified Health Center, Minnesota Community Care ensures that the communities we serve have access to high quality and affordable health care. Our patients predominantly identify as people of color (80%), low-wealth (61% patients = 200% FPL), and un/under-insured (40% uninsured, 45% publicly insured) (UDS, 2020).

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. Minnesota Community Care values building a culturally diverse staff that reflects the communities it serves, and strongly encourages women, minorities, and persons with disabilities to apply. Minnesota Community Care is committed to providing Equal Employment Opportunities to all applicants. EO M/F/Disability/Vet Employer.

Required Education and Experience

• High school diploma, GED, or equivalent years of experience.
• At least 2 years’ experience working in a related field, Family Practice, FQHC or Community Clinic experience highly preferred
• Computer proficiency – Microsoft Office, EHR (EPIC, Centricity and Athena platform), etc.
• 10-key skills, Math Ability, Accurate PC Keyboarding and data entry skills
• Bilingual (English/Spanish or English/Hmong) highly preferred
• Medical knowledge preferred