Medical Billing and Coding

The Salvation Army Mission Statement:

The Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of Jesus Christ and to meet human needs in His name without discrimination.

Job Objective:

As the Medical Billing and Coding Specialist, you will perform all aspects of the billing process with insurance companies and other payers, including but not limited to eligibility and benefit verifications, referrals, prior authorizations, claim submissions, appeals, and payment processing ...ensuring that the Mission of The Salvation Army is effectively carried out.

What You Will Do:

• Check eligibility and verify benefits for all clinical services
• Obtain referrals and pre-authorizations as required for treatment, and follow-up as needed
• Review all consumer billing and insurance information, including medical and clinical records, for accuracy and completeness. Obtain any missing information.
• Prepare, review, and submit claims both electronically and via paper claims
• Follow-up on unpaid claims within the standard billing cycle timeframe
• Check each insurance payment for accuracy and compliance with the contract

• Call insurance companies regarding any discrepancy in payments if necessary
• Identify and bill secondary or tertiary insurances
• Research and appeal denied claims
• Answer all consumer or insurance inquiries pertaining to assigned accounts
• Update software with rate changes
• Facilitate client finance orientation
• Prepare, review, and submit weekly/monthly reports to leadership
• Assist clients with all insurance navigation, including Medicaid enrollment and follow-up
• Assist with coverage of the Payment Office
• Other tasks as assigned by leadership

Minimum Qualifications: The requirements listed below are representative of the minimal education, experience, skills, and/or abilities required for this position.

Education: High School Diploma or equivalent required. Associate's or Bachelor's degree strongly preferred.

Background Checks: Position requires a background check to be completed, and all background check results will be reviewed.

Experience: Knowledge of medical billing, accounting, and business processes, healthcare and/or non-profit background strongly preferred. A minimum of one to three years of experience in a medical office setting.

Certifications: Must have a valid driver's license and maintain The Salvation Army Driver's qualification standard; must complete Safe From Harm training within the first 90 days of employment.

Skills/Abilities:

• Able to speak, write, and understand English in a manner sufficient for effective communication with leadership, field personnel, and clientele.
• Computer proficiency with Microsoft products and ability to learn electronic billing and reporting systems.
• Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.

Supervisory Responsibility: No supervisory responsibilities

The physical requirements described here are representative of those that must be met by an employee to successfully perform the duties of this job. Reasonable accommodation may be made to enable individuals to perform the essential functions of this job.

Physical Requirements Include:

• Good speaking, hearing and vision ability, and excellent manual dexterity
• Lifting, pulling and pushing of materials up to 25 pounds
• May require bending, squatting, walking
• May require standing for extended periods

Travel: Position may require occasional travel for training

Working Conditions: Work is performed in a typical office environment; may require some weekend and evening work.

All employees recognize that The Salvation Army is a church and agree that they will do nothing as an employee of The Salvation Army to undermine its religious mission.

The Salvation Army is an equal opportunity employer. Candidates who are back-to-work, US Veterans, people with disabilities, people who have been impacted by the justice system, and/or people without a college degree are encouraged to apply.

This job description should not be interpreted as all inclusive. It is intended to identify the essential functions and requirements of the position. Other job-related responsibilities and tasks may be assigned. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential job functions.