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Technical Records Specialist 1 - Medical Billing and CollectionPrintApplyTechnical Records Specialist 1 - Medical Billing and CollectionSalary$14.50 HourlyLocationBoise, IDJob TypeFull TimeDepartmentHealth and WelfareJob Number02933 PCN 1517Closing9/12/2019 11:59 PM Mountain
Description
Benefits
Questions
DescriptionThis position is located in the Financial Services unit at Central Office in Boise. The incumbent will be responsible for resolving outstanding, unpaid, unprocessed and denied medical claims. This position requires accuracy, attention to detail, and excellent customer service skills. The incumbent provides a variety of records support functions; reviews and processes documents; determines and explains compliance with laws, rules, regulations and policies and takes appropriate action.Example of Duties
Accurately and efficiently processes requests for denied claims information using website portals and outbound phone calls for all commercial, and Medicaid insurance payers.
Reviews and obtains appropriate documentation for claims re-submission per insurance guidelines and requirements.
Ability to contact internal clients to obtain any missing information or documentation.
Maintains follow up on recent claims re-submissions.
Timely follow-up and completion of all daily tasks and responsibilities.
Daily communication via all electronic platforms with various individuals.
Resolve various medical billing edits within established timelines.
Identify trends and issues with insurance denials and billing edits. Verbally communicate the issues and propose solutions to leadership.
Documentation and follow-up entries in medical management systems.
Following Program guidelines in the collection of debts and billing practices.
Provide backup support for other teams. Accepts payments over the phone for other programs.
Review, complete, and process financial documents to ensure compliance with laws, regulations, and policies for approval.
May deal extensively with public officials, business representatives, and/or the general public to identify and resolve non-routine issues.
Minimum QualificationsYou must possess all the minimum qualifications listed below to pass the exam for this position. Click on the Questions tab associated with this announcement for the details regarding minimum qualification requirements.
Experience monitoring a records system to identify and correct errors.
Experience researching a variety of sources to resolve problems.
Experience interpreting, explaining and applying regulations, laws, or complex policies to carry out assignments.
Experience entering and retrieving data using a computerized records system.
Some knowledge of bookkeeping practices.
Supplemental InformationPlease attach a customized resume to your application and emphasize your experience, education and training directly related to the minimum qualifications and supplemental information.Additional Qualifications: Are not required; however, having the minimum qualifications and the education and/or experience below will increase your score.
Experience with medical billing, insurance and medical terminology. Requires at least one year of experience.
Experience troubleshooting errors in automated accounting systems. Requires at least one year of experience.
Experience reviewing and/or monitoring the work of others for accuracy, i.e., experience as a lead worker. Requires at least one year of experience.
Experience creating formulas and employing built-in calculation functions to perform complex financial, statistical or analytical calculations in Microsoft Excel or another equivalent spreadsheet software. Requires at least six months of experience.
Experience interacting with customers via telephone and / or in person to identify their service needs and route them to an appropriate person or service to address their concerns. Requires at least six months experience.
People MakingA Difference!Our mission is topromote and protectthe health and safetyof Idahoans.For all Idaho state government jobs:https://dhr.idaho.gov If you have questions,please contact us at:Trouble Applying Call: Applicant Support Toll-free number: 1-855-524-5627Email:dhwjobs@dhw.idaho.gov Phone:(208) 334-0681Visit us online!Learn about a career with IDHW:www.careers.dhw.idaho.govEEO/AA/Veteranhttps://dhr.idaho.gov/StateEmployees/Benefits.htmlBenefits may not be applicable for temporary or seasonal positions.01Minimum Qualification:I have at least one year of experience (or more) monitoring records systems, identifying problems and correcting errors.Please ensure your resume supports your answer.
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02Minimum Qualification:I have at least one year of work experience gathering information from a variety of sources to collect and compile requested information and required that I have a good knowledge of services, operations, or programs.When responding to work experience statements, the intent is that this be full-time work (at least 35 hours per week). Two years of experience working 20 hours per week equates to one year of work experience.Please ensure your resume supports your answer.
Yes
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03Minimum Qualifiication:I have at least one year of work experience which frequently required interpreting and applying a variety of difficult rules, regulations, or policies to determine compliance or eligibility and explaining decisions to others. Decisions are complex and can affect the social or economic well being of others or will result in a service or action being denied.Please ensure your resume supports your answer.
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04Minimum Qualification:I have at least 6 months of experience in a work setting where I was required to enter and retrieve data in a database records system or other computer records system.Please ensure your resume supports your answer.
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05Specialty Minimum Qualification:I have some knowledge of bookkeeping practices.Knowledge may be obtained by education covering bookkeeping practices (such as in high school or above), OR approximately 6 months of work experience performing routine bookkeeping functions such as making debit and credit transactions and completing financial worksheets and reports.Please ensure your resume supports your answer.
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06EXTRA CREDIT:I have at least one year of experience with medical billing, insurance and medical terminology.Please ensure your resume supports your answer.
Yes
No
07EXTRA CREDIT:Do you have at least one year of experience troubleshooting errors in automated accounting systems?Please ensure your resume supports your answer.
Yes
No
08EXTRA CREDIT:Do you have at least one year of experience reviewing and/or monitoring the work of others for accuracy, i.e., experience as a lead worker.Please ensure your resume supports your answer.
Yes
No
09EXTRA CREDIT:Do you have at least six months of experience creating formulas and employing built-in calculation functions to perform complex financial, statistical or analytical calculations in Microsoft Excel or other equivalent spreadsheet software?Please ensure your resume supports your answer.
Yes
No
10EXTRA CREDIT:I have six months experience interacting with customers via telephone and / or in person to identify their service needs and route them to an appropriate person or service to address their concerns.Please ensure your resume supports your answer.
Yes
No
Required Question
AgencyState of IdahoAddress304 North 8th StreetBoise, Idaho, 83720Websitehttps://www.governmentjobs.com/careers/idahoApplyYour browser does not support the IFRAME feature, which is required by this web page.
Vacancy expired!