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Vacancies > Job Vacancy Announcement Detail
Job Vacancy Announcement Detail
| Employer: | Marianas Health Services, Inc. |
| DBA: | Marianas Health Services, Inc. |
| Address: | P.O. Box 10003 PMB 1341 Saipan, Northern Mariana Islands 96950 United States |
| Phone: | 670-233-4646 |
| Other Number: | 670-233-4646 |
| Contact Marianas Health Services, Inc. via email | |
| Job Vacancy Announcement | JVA |
| JVA Type: | Renewal |
| Island | Saipan |
| FLSA Covered? | Yes, covered |
| DOD related? | No |
| PERM related? * | No |
| VEVRAA related? | No |
| Original Number of Openings: | 1 |
| Number of Openings Currently Available | 1 |
| Specific Worksite location: | San Jose, Saipan |
| Job Classification: | Healthcare Support Occupations |
| Job Title: | Billing Specialist |
| Announcement Number: | 14-03-27112 |
| Job Classification: | Healthcare Support Occupations |
| Opening Date: | 3/20/2014 |
| Closing Date: | 3/25/2014 |
| Salary Range: | $5.55 to $11.3 / Hourly |
| Job Title: | Billing Specialist |
| Job Duties: | ESSENTIAL FUNCTIONS/AREAS OF ACCOUNTABILITY: 1. Ensures timely, accurate submission of claims. a. Ensures accounts receivable management and posting of payments. b. Follows up on collections. c. Assures compliance with theird-party billing procedures. d. Promotes relations and contracts with payers and auditors. 2. Prepares insurance assignment form with data such as names of insurance company, and policy holder, policy number and physician diagnosis. 3. Contacts insurance company to verify patient coverage and obtain information concerning extent of benefits. 4. Verify claims with pertinent documents and submit to insurance companies per standard billing procedure. 5. Computes total patient bill showing amounts to be paid by insurance company and by patient; answer any patients’ questions regarding billing statements and insurance coverage and follow up on unpaid insurance and/or patient claim. 6. Keep files of all billed claims, and documents in designated filing system; maintain a follow-up system in a timely manner; 7. Audit and review claims prior to submission for completeness on the following: a. Direct Date Entry (DDE) b. International Coding of diagnosis (ICD)-9 or most current (ICD)-10 c. Home Health Resource Group (HHRG) coding d. Home Care Common Prodedure Coding System (HCPS) e. Outcome Assessment Information System Oasis) f. Exporting OASIS to Medicare g. Produce reports from Software System (ALORA) h. Medigraph software i. EDI Gateway j. Medicare Navigator 8. Maintain/update fee schedule/criteria/correspondence. 9. Prepare Spreadsheet for Medical Billing. 10. Maintain general inventory and bookkeeping. 11. Strong knowledge of MEDICAL terminology and office procedures. 12. Maintain client, employee, and agency confidentiality in all aspects of the job. 13. Protects confidential documents in a manner that prevents unauthorized access. 14. Shares information appropriately and timely in accordance with agency policy. 15. Proficient in MS Operations, Quick Books, Medigraph, ALORA 16. Must be flexible with work hours beyond normal working hours. 17. Performs job in compliance with agency policies and procedures and professional and community standards. 18. Prepare and monitor Medicare, Medicaid and other commercial insurance provider application and updates. 19. Monitor and submit Prior Authorization to Insurances. 20. Submit quarterly credit balance report to Medicare. 21. Prepare report for Yearly Ending Medicare Cost Report. 22. Produce reports from ALORA and Medigraph system for all subsidiary companies. 23. Performs additional related duties and responsibilities as requested by the Administrator and Director of Finance. |
| High School Diploma Required? | Undetermined |
| Qualification Requirements: | QUALIFICATIONS: 1. High School graduate or equivalent with additional training in business or accounting. 2. Minimum of two (2) years billing experience, preferably in health care. 3. Experience in medical and billing regulations for Medicare, Medicaid and insurance processing. 4. Proficient in medical terminology and coding. 5. Computer skills in areas of electronic claim submission and data entry/report generation. 6. Minimum knowledge of bookkeeping principles and practices (preferably in the health care field) which entails accounts payable and accounts receivable. 7. Attention to detail and organizational skills. 8. Strong verbal and written communication skills 9. Strong interpersonal and communication skills. |
| Full or Part Time: | Full Time |
| Hours per Week: | 40 |
| Hours per Day: | 8 |
| Payment Frequency: | bi-weekly |
| Overtime Available: | No |
| Overtime Rate: | $8.325 - $16.95 |
| Rate x 1.5 per hour Exempted: | No |
| Specify All Payroll Deductions: | |
| Required tools, supplies and Equipment to be provided: | |
| Anticipated starting date of employment: | Not Indicated |
| Anticipated closing date of employment: | Not Indicated |
| Housing Provided: | No |
| Food Provided: | No |
| Transportation required: | No |
| If transportation is required, daily transportation to and from the worksite(s) will be provided to the workers. Daily pick-up place(s) will be at: | |
| Fringe Benefits: | |
| Comments: |