Job ID359326 LocationTwin Cities Job FamilyLR-Clerical Full/Part TimeFull-Time Regular/TemporaryRegular Job Code1888 Employee ClassAFSCME Unit 6 - Clerical About the Job OBJECTIVE/OVERVIEW CUHCC's mission is transforming care and education to advance health equity. The clinic is known for providing high quality care to diverse patients and is moving forward in improving timely access to care for patients. This position will be a goal-oriented, revenue-driven, highly accurate and motivated Billing Specialist. Primary duties include, but are not limited to: review and submission of claims, consistent follow up on unpaid claims, filing appeals when appropriate to obtain maximum reimbursement and establish and maintain strong relationships with insurance, providers, patients, and co-workers. Upon successful completion of training period, this position will be in-person a minimum of one day per week and has the potential to be remote up to 4 days per week, depending on clinic needs. ESSENTIAL FUNCTIONS Billing and Accounts Receivable Follow-Up (70%) Working knowledge of Medical, Dental, and Behavioral Health claim benefits, clean claim submission, and reimbursement. Understanding of Government program guidelines on claim submission and reimbursement. Prepare and submit clean claims to insurance companies. Responsible for compliance and accuracy within billing guidelines. Regularly meet with supervisor to report issues or obstacles with regards to clean claim billing and to report trends or issues with insurance reimbursement. Account audits to ensure accuracy of billing. Effectively and professionally resolve unpaid or denied claims with insurance companies. Use insurance websites for claim status and appeals. Understanding of Coordination of Benefits (COB) including resubmissions or secondary billing of claims, corrected claims, void and replacement claims, and refiling to insurance. Other duties (20%) Responsible for professionalism and courteousness to patients and clinic staff, accepting payments, waiver review, estimated treatment costs, and questions on account. This role will be included in the billing team phone queue to assist patients with any billing questions, statements, and collecting payment. Ad hoc accounts receivable reports for projects. Attend team and company-wide meetings, ad hoc meetings, and one-on-one meetings with supervisor. Provide patients, providers, and clinic staff explanation of account balances, payment history, and insurance coverage as related to Medical, Dental, and Behavioral Health. Work with HIM to provide billing record requests and/or completion of additional information that may be requested from the patient, insurance, or legal representative. Back-Up to Patient Financial Advisors at the clinic Other duties as assigned (10%) Salary Range: $23.30/hr ($48,464/annually) to $29.37/hr ($61,089.60/annually), depending on qualifications. Qualifications All required qualifications must be documented on application materials Required Qualifications High school diploma/GED and four years of general accounts transaction experience. Training may be substituted for some of the years of experience. Years of experience to include two years of healthcare claims reimbursement experience which must include a minimum of: Two years of customer service Two years of processing claims for a health-care entity One year in electronic claim adjudications Two years of computer experience in a professional working environment. Ability to edit, modify and create in computerized billing software, Microsoft Word, Microsoft Excel, Epic, Dentrix and other programs. **A negative TB test is required for this position and Hepatitis B vaccine is required. Preferred Qualifications Experience with Epic EMR. Aptitude and/or interest in working with Medical, Dental, and Behavioral Health patients, providers, clinic staff, and insurance companies on the phone in billing office setting and/or in person within a clinic setting. Flu ncy in one of CUHCC's predominant patient languages (Spanish, Somali, Vietnamese, Lao, Hmong). Knowledge of Federally Qualified Health Care Center (FQHC). Experience with Sliding Scale Discount programs. Experience working remotely. Experience working in a community clinic. About the Department CUHCC serves nearly 11,000 patients a year through over 55,000 visits annually. The patient population comes from over 12 different racial and ethnic groups that span five continents. CUHCC's mission is to seek health equity in our community by advancing the well-being of diverse people. Candidates must be able to adapt behaviors to others' styles; interact with people who have different values, cultures, or backgrounds; be of service to difficult people; optimize the benefits of having a diverse workforce. Teamwork is an essential skill to promote synergy within the organization. Candidates must be able to share due credit with coworkers; display enthusiasm and promote a friendly group working environment; work closely with other departments as necessary; support group decisions and solicit opinions from coworkers; display team spirit. Candidates must have excellent communication skills and be able to clearly present information through the spoken or written word; read and interpret complex information; talk with customers or clients; listen well. Benefits Working at the University At the University of Minnesota, you'll find a flexible work environment and supportive colleagues who are interested in lifelong learning. We prioritize work-life balance, allowing you to invest in the future of your career and in your life outside of work. The University also offers a comprehensive benefits package that includes: Competitive wages, paid holidays, and generous time off Continuous learning opportunities through professional training and degree-seeking programs supported by the Low-cost medical, dental, and pharmacy plans Healthcare and dependent care flexible spending accounts University HSA contributions Disability and employer-paid life insurance Employee wellbeing program Excellent retirement plans with employer contribution Public Service Loan Forgiveness (PSLF) Financial counseling services Employee Assistance Program with eight sessions of counseling at no cost with free or reduced rates in the Twin Cities metro area Please visit the for more information regarding benefits. How To Apply Applications must be submitted online. To be considered for this position, please click the Apply button and follow the instructions. You will have the opportunity to complete an online application for the position and attach a cover letter and resume. Additional documents may be attached after application by accessing your "My Job Applications" page and uploading documents in the "My Cover Letters and Attachments" section. To request an accommodation during the application process, please e-mail [email protected] or call (612) 624-UOHR (8647). Diversity The University recognizes and values the importance of diversity and inclusion in enriching the employment... For full info follow application link. The University recognizes and values the importance of diversity and inclusion in enriching the employment experience of its employees and in supporting the academic mission. The University is committed to attracting and retaining employees with varying identities and backgrounds. The University of Minnesota provides equal access to and opportunity in its programs, facilities, and employment without regard to race, color, creed, religion, national origin, gender, age, marital status, disability, public assistance status, veteran status, sexual orientation, gender identity, or gender expression. To learn more about diversity at the U: http://diversity.umn.edu.