The Guthrie Clinic
Fulfills all requirements of an Insurance Billing Specialist II as well as identifies, analyzes and takes the necessary action to submit complex appeals to insurance payers. Reviews all medical chart and account documentation in order to determine appropriate coding and initiate corrected claims and appeals. Interprets payer guidelines, regulatory guidelines, contractual obligations and works with Department Management to ensure regulations/requirements are met. This position requires a thorough understanding of the requirements of the Government and Non-Government payment policies & payer contracts. Trains Insurance Billing Specialists and related support staff, participates in billing projects and system testing as a Subject Matter Expert (SME). Works directly with Billing staff, Billing Supervisor/Manager/Director, Application Analyst and CRC departments when needed, to resolve complex issues and denials through independent research and assigned projects. This position works closely with a team of Denial Resolution Specialists to analyze and take corrective action on payer denials to ensure an optimum revenue cycle workflow.
Associates degree and/or CPC, CCA, RHIT, RHIA or certification in medical billing and coding is required. Certification may be waived for years of experience and/or candidates actively pursuing certification.
Minimum 3 years experience in insurance billing and/or coding. Must have proven experience in performing required tasks independently while contributing to the team environment. Strong organizational and customer services skills are a must. Previous experience in performing in a high volume and fast paced environment and demonstration of self-motivation to develop and maintain the knowledge and skills for the position. Demonstrate ability to work independently and collaboratively.
How To Apply
Guthrie is an equal opportunity employer. To apply for a position at Guthrie please visit www.guthrie.org/careers