Junior Billing Specialist

  • WebPT
  • Upland, CA 91786, USA
  • Jul 10, 2019
Full time Admin-Clerical Medical Billing

Job Description

As a WebPT Junior Billing Specialist you’ll be responsible for successfully filing, collecting, and resubmitting claims via electronic claim submission.

At WebPT, we like to hire the most talented people for our teams, and then give them the freedom to do their jobs. Here, we work hard—but we have lots of fun doing it. So, if you like a cool, collaborative work environment, you’ll fit right in. Throw business casual to the wind. We want casual-casual. Rock flip flops and jeans. We don’t care as long as you do good work and enjoy yourself.

Responsibilities

  • Receive and transfer incoming calls to appropriate parties
  • Review, prepare, and submit electronic claims
  • Own mail like a boss. We’re talking sorting, delivering, and stamping like a champ.
  • Print and deliver daily HCFA forms
  • Process monthly statements including printing, folding, stamping, and delivering to the post office for bulk mail.
  • Diagnose and resolve issues associated with escalated or problematic accounts.
  • Identify and resolve exclusion trends, and follow up and re-submit claims when necessary.
  • Ensure first pass acceptance (FPA) and educate the team on any issues affecting FPA metrics.
  • Maintain strict confidentiality and compliance, adhering to all HIPAA regulations.
  • Retrieve notes, RX’s, and EOB’s from clinics using electronic medical records (EMR)
  • Process secondary claims by printing HCFA and attaching primary EOB and sending to insurance companies.
  • Be ready to fly by the seat of your pants. This role is ever-evolving—just like WebPT—so while you don’t need to be Cirque du Soleil flexible, we may occasionally ask you to do a few cartwheels, or at least try some things outside of your wheelhouse.

Skills and Qualifications

Abilities and Knowledge

  • Have knowledge of ICD-10 and CPT codes as well as insurance guidelines—especially Medicare and Medicaid.
  • Must demonstrate flexibility and ability to multi-task in a fast paced environment.
  • Attention to detail, suggest areas of improvement
  • Be organized, ahead of schedule, communicative, and accountable.
  • Excellent time management skills
  • Partner and foster working relationships with colleagues, members and vendors as applicable.
  • Be energetic, possess integrity and a positive attitude, and have a hunger for knowledge and a passion for sharing it.
  • Know how to roll up your sleeves. We have a lot of brass tacks here, and we like to get down to ’em.
  • Jibe with our company culture. We’re talkin’ energy, integrity, positivity, a hunger for knowledge, and a passion for your role and team. Bring all that and a bag of chips. Seriously, though, we love chips.

Education and Experience

Required:

  • At least one year of experience in medical billing or fast-paced administration role
  • High School Diploma or GED

Preferred:

  • Have experience with a variety of medical billing software
  • Strong knowledge of HIPAA compliance
  • Prior working knowledge of ICD-9 (bonus points for ICD-10) and CPT codes as well as insurance guidelines—especially Medicare and Medicaid.

Additional Aspects of the job

Working Conditions

WebPT will make reasonable accommodations to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee will not be exposed to weather conditions, and the noise level is usually moderate.

Physical Requirements

WebPT will make reasonable accommodations to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee may occasionally need to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; or taste or smell. The employee must occasionally lift and/or move up to 25 pounds. This job requires specific vision abilities, including close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

EEO Statement
WebPT, Inc. provides equal opportunity for all applicants without regard to race, color, religion, sex (including pregnancy), national origin, ancestry, age, genetic information, marital status, sexual orientation, veteran status, or any other basis protected by state or federal law.

 Minimum experience or requirements:

  • At least one year of experience in medical billing or fast-paced administration role
  • High School Diploma or GED