Specialist, Medical Billing

Position Summary

Rosalind Franklin University Health Clinics is seeking to fill a full-time Billing Specialist. The Billing Specialist is responsible for gathering charge information, coding, entering charges into billing software, resolving outstanding balances with patients, and third-party payers to bring resolution to accounts.

This role is a hybrid role with 3 days in office and 2 days remote once training has been completed. Must have reliable transportation to the office on in-office days.

Our generous benefits package includes medical, dental, and vision plans; paid parental leave; short term and long term disability plans; life insurance; flexible spending accounts; and a 403(b) retirement plan which includes a 8% employer contribution after 2 years of service. RFUMS is committed to employee wellbeing and work-life balance. Full time staff are eligible for 3 weeks of vacation/ personal leave, 15 sick days, and 9 paid holidays, paid winter break, plus two floating holidays.

Who We Are

Rosalind Franklin University Health Clinics (RFUHC), a subsidiary of Rosalind Franklin University of Medicine and Science, combines compassionate care with state-of-the-art science to provide patients with high-quality medical services. RFUHC physicians are leaders and innovators in their specialties, offering patients access to the latest advances in podiatry, physical therapy, behavioral health, and reproductive medicine.

Essential Duties & Responsibilities

• Research all information needed to complete the billing process including obtaining charge information from all providers
• Prepare, review, and transmit claims using billing software to include electronic and paper claims
• Review patient bills for accuracy, completeness, and obtain any missing information, when appropriate
• Follow-up on unpaid claims within standard billing cycle timeframe
• Assist with coding and error resolution
• Review accounts for insurance and patient follow-up
• Investigate and appeal denied claims
• Call patients to collect on outstanding balances
• Answer all patient or insurance inquiries
• Perform other related duties as assigned or delegated

Conditions of Employment

• Must achieve satisfactory results from a background check
• Compliance with the current clinic vaccination policy

Required Education & Experience

• High school diploma or GED Equivalent.
• Minimum two years of medical billing, coding and AR experience.

Required Knowledge, Skills, & Abilities

• Knowledge of health care billing/coding practices, regulations, and laws
• Strong written and verbal communication skills
• Strong attention to detail and ability to multi-task
• Proficient in using computer programs and calculators
• Ability to plan, prioritize, and complete delegated tasks
• Ability to examine documents for accuracy

Preferred Qualifications

• Certification from a nationally recognized medical billing and coding certifying agency
• Experience with Athena

Typical Physical Demands & Working Conditions

Selected candidate must have the mental and physical capabilities to perform the essential functions of the position with or without reasonable accommodations.