Medical and Dental Billing Specialist


Medical and Dental Billing Specialist (Remote)

  • Job Category Billing Services
  • Location Remote/Virtual

MAKE A DIFFERENCE AT OCHIN!

OCHIN is dedicated to creating a healthier future in every community. Our Health IT solutions improve the integration and delivery of health care services across a wide variety of practices—with an emphasis on safety net clinics and small practices.

Our Mission

Here at OCHIN, our goal is simple: to provide solutions that promote access to quality, affordable health care for all. OCHIN believes that each individual, no matter their background or zip code, should have fair opportunity to achieve their full health potential. Our work addresses differences in health that are systemic, avoidable, and unjust. This mission sets us apart from other health technology organizations.

Over the last 20 years, we’ve grown from a small start-up to one of the nation’s largest and most successful Health Information Networks. We are curious, collaborative learners who strive to live our values everyday: leadership, collaboration, excellence, innovation, inclusion and stewardship. At OCHIN we partner, learn, innovate, and advocate in order to close the gap in health for individuals and communities negatively impacted by structural, unconscious, or overt inequities.

Position Overview

OCHIN is growing and we are currently looking for Medical and Dental Billing Specialists to join the team and do great work for our clinics! Here you’ll have the opportunity to interact with and learn more about non-profit Community Health Centers. These clinics support the health needs for under-served and under-privileged people in our communities. Also, you’ll have the opportunity to learn and work with two of the top medical billing platforms, Epic and Next Gen. You’ll continue to grow and develop professionally in this role – learning and growing is all part of our company culture.

The Medical and Dental Billing Specialist is responsible for providing high quality billing services to one or more OCHIN Billing Services (OBS) member clinics. The Medical and Dental Billing Specialist will recognize potential high-risk issues and develop techniques to help collect money and streamline processes. The OBS team member will discuss difficult or unique problems with the Billing Supervisor, resolve issues, apply new information to future collection issues, and make suggestions to enhance our efficiency and effectiveness through process improvement with the assistance of their immediate supervisor. This position will enhance the billing department’s reputation by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to job accomplishments.

In this role, you’ll be collaborating with an innovative team of people moving exciting projects forward and working to improve systems and processes along the way.

Essential Duties

Medical Billing

  • Providing efficient and effective account receivable services on behalf of our member clients to maximize their reimbursement.
  • Accurately billing Medicare, Medicaid, self-pay/uninsured, and commercial insurance, processing medical and dental claims in accordance with payer requirements and organization policy
  • Posting patient and electronic and paper insurance remits
  • Correcting claim and charge errors
  • Thoroughly researching and resolving credit balances
  • Answering phone calls from patients who are inquiring about their bill
  • Alerting appropriate team members regarding late or missing documents required for billing
  • Assisting with the collection of receivables by monitoring accounts receivables, checking claim status and resubmitting claims of overdue accounts, filing corrected claims or appeals and alerting one’s supervisor of seriously overdue accounts

Account Maintenance

  • Patient Registration in Epic
  • Maintaining complete and accurate billing and accounts receivable records
  • Updating and verifying information in the practice management system
  • Send correspondence to Member Clinic/Client in accordance with Member/Client policies and procedures
  • Establishing and maintaining positive working relationships with patients, payers, team members, clients and other stakeholders

Additional Responsibilities

  • Maintain confidentiality of patient information, organization data and information at all times in compliance with HIPAA regulations
  • Learning collection processes and strategies by working with colleagues within the Billing department
  • Performing other specific projects related to billing, data entry, and computer operations as required
  • Other duties as assigned

Work Location

This position is 100% remote. Work from home requirements are:

  • Ability to work independently and efficiently from a home office environment
  • High Speed Internet Service
  • It is a requirement that employees work in a distraction free workplace
  • Schedule is 40 hours per week and work schedule varies and is dependent on client assignments; anywhere from 6:00 a.m. – 5:00 p.m.

Qualifications

  • Minimum one (1) year of progressive experience in similar or relevant role preferred.
  • Minimum of a high school diploma or GED
  • Working knowledge of CA Medicaid and or Ohio Medicaid processes preferred
  • Working knowledge of Medicare, Medicaid, MVA, Workers Comp and private insurance billing and reimbursement processes, legal requirements knowledge
  • Two (2) years of applicable Billing experience desired.
  • Associate’s or Bachelor’s degree in Business or applicable area of study
  • Knowledge of Medical Terminology
  • Dual language skills, specifically in Spanish is a plus
  • Following Certifications: Medical coding from AAPC (CPC Certificate) or; AHIMA (CCS Certificate) and;
  • Current certification from ADCA (CDC certificate)


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OCHIN

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