Billing Specialist (Wailuku, HI)

Community Clinic of Maui, Inc. dba Malama I Ke Ola Health Center is a Federally Qualified Health Center (FQHC) and a fully integrated behavioral health, dental, and primary care system. Our 100+ professionals and providers serve the people of Maui at three clinics—two locations in Wailuku and one in Lahaina. We have behavioral health providers who partner with the primary care clinicians to assist in a vast number of activities including warm handoffs for acute behavioral health crisis management, substance abuse counseling, tobacco cessation counseling, chronic disease self management counseling, and long-term individual and family therapy. We have been serving the Maui community since 1993.  Since 2015, we have served over 11,000 patients of which 97% are living at or below 200% of the Federal poverty level.  Our philosophy is for all professionals to work at the top of their license.  We are a learning organization that focuses on Patient Centered Medical Home (PCMH), Trauma-Informed Care, and Team-Based Care.  Please visit our website https://ccmaui.org/ to view our unique focus projects, our professional staff, and to learn more about our health center.  Join our growing team of caring, competent, and committed professionals in serving the underserved communities on Maui.

 Billing Specialist
PRIMARY FUNCTION:  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.
 
ESSENTIAL DUTIES AND FUNCTIONS

• 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 Member Services 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.
• Enter Medical Record charges in patient accounts.
• Work closely with providers and other clinical staff to ensure accuracy of billing.
• Maintain smooth patient flow.
• Communicate as needed with insurance plans on billing issues.
• Communicate information regarding patient billing activities and issues to the Controller and 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.
• Reports to the Billing Manager

Physical Demands: Frequent sitting at a desk for office work. Occasional driving of automobile for outside training and meetings. Occasional climbing stairs, stepstools; occasional stooping, kneeling, crouching, crawling, reaching and turning. Continuous use of corrected vision; depth perception; wide field of vision and color. Continuous use of olfactory, auditory and tactile senses. Occasional pushing/pulling to 100 lbs.; lifting up to 50 lbs. and carrying up to 25 lbs. Occasional use of wheelchair and other patient assisted devices for patient access into the clinic. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Equipment Use: Frequent use of telephone system and office equipment i.e. computer, printer, FAX machine, copier, and general office supplies.

Work Hours: Eight-hour work days with variable/flexible hours depending on patient needs. Overtime may be required.

Mental Demands: Duties require attention to detail, alertness, problem-solving, tolerance to stress, and exercising sound judgment. Also requires mathematical ability, scientific-logic, abstract thinking, and intuitive sense.

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.

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 Certificate.

Skills: 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.

REQUIREMENTS

• Negative TB clearance within previous 12 months
• Proof of COVID-19 Vaccination as required by federal mandate, will consider request for reasonable accommodate for medical or religious exception.

Job Type: Full-time, Nonexempt
 
 
Community Clinic of Maui, Inc. dba Malama I Ke Ola Health Center is an equal opportunity employer and prohibits discrimination and harassment of any kind. We are committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. We embrace a friendly, warm, and welcoming environment so that we can deliver on our promise to provide quality care to our community. E komo mai (Welcome)

Equal Employment Opportunity Statement
We are an equal opportunity employer. We do not discriminate on the basis of age, race, sex, religion, color, national origin, ancestry, marital status, disability, sexual orientation, lactation, arrest and court record or any other protected category recognized by state and federal laws.

This is a non-management position
This is a full time position