Job Description

Job Description

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The Community Clinic of Maui is a nonprofit healthcare organization that serves the community of Maui as Mālama I Ke Ola Health Center. We are a proud member of the national Community Health Center movement which was birthed by the civil rights movement of the 1960s to provide a safety-net of health care for people who have been historically marginalized. Our evidence-based model of primary care involves dedicated teams from different disciplines who take a person-centered and trauma-informed approach to nurture one’s journey to health and wellness. We recognize the presence of past and present trauma in the lives of all people. We commit ourselves to the healing of trauma, building agency and growing resilience. We value curiosity and humility as we challenge ourselves to always provide care that feels respectful, safe and valuable to the different communities we serve on Maui. We are committed to nurturing the well-being and development of our staff who are the core of everything we do for our community.

We are seeking a medical billing specialist who is looking for an in person role in Wailuku, HI.

Responsibilities :

• Serves as primary medical/dental Billing Specialist, responsible for activities related to billing, third party and patient follow up and customer service, ensuring optimal billing and follow up standards are maintained.
• Responsible for all patient phone calls and in-person/clinic interactions related to billing.
• Conduct research, resolve and communicate patient billing discrepancies and adjustments.
• Work with Community Engagement to communicate updated insurance demographics and sliding fee documentation and as well as assist front desk staff to help ensure patient demographic, insurance, sliding fee and proof of income (POI) is accurately entered/updated in the system.
• Prepare daily cash log, post payments, and work with front desk and accounting staff on any discrepancies.
• Maintain and complete assigned work queue tasks in EPIC.
• Work closely with providers and other clinical staff to ensure accuracy of billing.
• Provide backup and coordinate breaks with front desk cashier.
• Maintain smooth patient flow.
• Communicate as needed with insurance plans on billing issues.
• Communicate information regarding patient billing activities and issues to the Finance Team.
• Demonstrate ability to be viewed as a subject matter expert in their current role.
• Organize work/resources to accomplish objectives and meet deadlines.
• Demonstrate personal responsibility for job performance.
• Maintain relationships with health plans, healthcare providers, other professionals, coworkers and patients.
• Participate in quality improvement activities.
• Demonstrate a cooperative team approach in activities.
• Attends and participates in meetings, committees, and training sessions as directed.
• Other duties as assigned.

Qualifications :

• Education: High School diploma or GED. Business school or equivalent preferred.
• Experience: Minimum one year experience in a medical/hospital setting and familiarity with medical terminology preferred and/or Medical Office Assistant. Preferred medical billing office experience.

Required Skills :

• Basic Computer skills required.
• Knowledge of Microsoft Word and Excel required.
• Knowledge of use of adding machine, copier, fax machine, etc.
• Familiarity with Hawaii insurance, including managed care plans.

Preferred Skills :

• Communication Demands: Frequent conversing with public, patients, physicians, community agencies and professionals.
• Talking on telephone, training/giving instructions; receiving instructions and composing written language (English).
• Ability to work with diverse elements of Maui community and target groups including the mentally ill, alcohol and substance abusers, homeless and non-English speaking individuals.

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