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Medical Billing Specialist

medical Billing Specialist

Remote and/or Hybrid

WHAT DOES IT TAKE?

The job is for a Medical Billing Specialist at Impact Health Sharing. Responsibilities include supporting the care team, answering calls, gathering information, and ensuring compliance with HIPAA standards. The ideal candidate should have strong customer service and problem-solving skills, computer proficiency, adaptability, and dependability. 

To apply, please submit resume to careers@impacthealthsharing.com.

RESPONSIBILITIES

  • Support Specialist is responsible for the completion of set processes and protocols
  • Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service and adhere to all processes
  • Supports the teams in meeting service goals
  • Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer
  • Represents the Company in a professional manner, following all Company policies and procedures
  • Uses, protects, and discloses patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
  • Phone and task support role for providers and members
  • Phone and task support role for providers and members
  • Answer inbound and initiate outbound calls to members and providers
  • Gather, review, and verify relevant information relating to members
  • Knowledge regarding Impact guidelines and product offerings
  • Respond to questions from members/providers on any issues they are experiencing, including detailed claim and eligibility related questions
  • Gather, review, and submit relevant documentation needed
  • Monitor, mitigate, and report member and provider abrasion
  • Perform and/or administer research in ensuring effective, timely responsiveness to all member and provider issues
  • All other duties as assigned

ESSENTIAL SKILLS & ABILITIES

  • Customer Service Skills- ability to clearly communicate about member guidelines, billing and related inquiries in sometimes difficult situations
  • Problem solving- ability to gather and analyze information skillfully using varied systems; identify and resolve problems in a timely manner
  • Strong computer skills- ability to access, research, use, and maximize various systems; and possess an intermediate knowledge of Microsoft Office (Excel, Word, and Outlook)
  • Quality control- demonstrates accuracy and thoroughness; monitors work to ensure quality, and applies feedback to improve performance
  • Quantity- ability to meet productivity standards and complete work in a timely manner
  • Adaptability- ability to adapt to changes in the work environment, manages competing demands, and can deal with frequent change, delays, or unexpected events
  • Dependability- consistently at work and on time, follows instructions, responds to management direction and solicits feedback to improve performance

CORE COMPETENCIES

  • Collaborates-builds partnerships and works collaboratively with others to meet Impact objectives
  • Manages Conflict-handles conflict effectively and escalates to management when appropriate
  • Interpersonal Savvy-relates openly and comfortably with a diverse group of people. Must be able to communicate effectively and build engagement across all audiences
  • Drives Results-consistently achieves results, even under tough circumstances and tight deadlines
  • Courage-ability to have tough conversations and deliver accurate advice and decisions regardless of risk or potential criticism
  • Customer focus-building strong customer relationships and delivering customer-centric solutions
  • Action oriented-taking on new opportunities and tough challenges with a sense of urgency, high energy, and enthusiasm
  • Decision quality-making good and timely decisions that keep the organization moving forward
  • Continuous learning-actively learning through tackling new problems, using both successes and failures as learning tools

EDUCATION

  • High school diploma or GED required
  • Bachelor’s degree in a Healthcare or business-related field is preferred
  • 3 to 5 years’ experience in customer service field preferred

Supervisory Responsibilities

This job has no supervisory responsibilities