Job description

Nexus Family Healing is a national nonprofit network of mental health agencies with over 50 years of restoring hope for thousands of children and families through outpatient/community mental health services, foster care and adoption, and residential treatment. We use innovative, personalized approaches to heal trauma, break cycles of harm, and reshape futures. We believe every child is worth it — and every family matters.
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Position Summary:
The Medical Billing Specialist is responsible for ensuring timely and accurate claims processing and accounts receivable management of client Electronic Health Records by performing coding and billing tasks on a computerized health information technology (HIT) system, while assuring payments related to client services from all sources are recorded and reconciled timely in order to maximize revenues.
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Primary responsibilities:

• Maintains accurate and legally compliant medical records of patient demographic information and medical diagnosis coding for accurate claims processing.
• Manages accounts receivable billing and collection of payments in order to meet and maintain financial reimbursements expected.
• Prepares, corrects, audits, and submits claims to third-party payers.
• Monitors and reacts to aging accounts for collections requirements.
• Reviews denials or partially paid claims and work with the involved parties to resolve the discrepancy.
• Completes outbound invoicing and collection calls.
• Acts as intermediary between healthcare providers, clients, and health insurance companies as needed.
• Reviews insurance payments for accuracy and compliance with contracts.
• Consults with supervisor, team members and appropriate resources to solve billing and collection questions and issues.
• Prepares reports and forms as directed and in accordance with established guidelines.
• Complies with all company policies, related laws and regulations pertaining to the position and for fulfilling the obligations under HIPAA, COA, Medicaid and other state and federal entities as required.
• Functions as contributing team member while meeting deadlines and productivity standards.
• Remains current on all company policies, assigned trainings and/or certification requirements.

Required Education and Licensure:

• High School Diploma or equivalent
• Knowledge of accounting and basic book-keeping practices and reporting.
• Understands medical terminology, billing software and electronic medical records.
• Knowledge of insurance claims processing, rules and guidelines; especially for Medicaid reporting requirements.
• Proficiency in Microsoft Office Suite and data entry skills required.
• Educated on and compliant with HIPAA regulations; maintains strict confidentiality of patient and client information.
• Ability to work effectively within role independently and with other team members.
• Ability to organize and complete work in a timely manner.
• Ability to read, write and communicate effectively.
• Valid driver’s license required. Must meet state regulating agency and Home Office driving requirements

Preferred Education and Experience:

• Associates Degree in Business Administration, Accounting, or other Healthcare related field.
• Certified in Medical Reimbursement Specialist (CMRS).
• A minimum of two (2) years’ experience in healthcare billing and collections as a Medical Biller or similar role.
• Experience with Medicaid’s State Eligibility System.

ICARE Values & Behavioral Competencies:

• Innovation: Leading the way and implementing creative, cutting-edge ideas and approaches.
• Compassion: Listening, honoring differences, and showing respect, kindness, empathy care, and concern.
• Agility: Exhibiting flexibility and adapting quickly.
• Responsiveness: Being quick, positive, and accurate.
• Excellence: Demonstrating quality results that surpass ordinary standards.

Commitment to Diversity, Equity, & Inclusion:
At Nexus Family Healing, our voices and actions will be focused on recognizing, affirming and respecting people of every race, ethnic background, socio-economic status, sexual orientation, gender expression and faith.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

Location: Plymouth,Minnesota,55441,United States, Plymouth, MN 55441

Job Type: Full-time

Pay: $20.00 - $23.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance
• Work from home

Schedule:

• Monday to Friday

Application Question(s):

• Do you currently hold experience in accounting and basic book-keeping practices and reporting?
• Do you hold experience with medical terminology, billing software and electronic medical records?
• Do you hold experience and knowledge of insurance claims processing, rules and guidelines, especially for Medicaid reporting requirements?

Education:

• High school or equivalent (Preferred)

License/Certification:

• Driver's License (Preferred)

Work Location: Hybrid remote in Minneapolis, MN 55441

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