Medical Billing Specialist

Martindale Brightwood Health Center - 2855 N Keystone Avenue, Suite 100, Indianapolis, IN 46218

Fair Labor Standards Act Classification: Non-Exempt

**Position will be working onsite and remotely. 

What you’ll do as a Billing Specialist at HealthNet:

The Medical Billing Specialist position is responsible for the accurate and timely submission, research, follow-up, correction, and resolution of medical claims for Medicare, Medicaid, Commercial, HMO, and PPO payers. This role requires strong knowledge of medical billing processes, insurance guidelines, payer requirements, denial management, and account resolution strategies to reduce accounts receivable aging and enhance reimbursement outcomes.

Additional responsibilities may include assisting with patient payment arrangements, payment posting support, account resolution activities, and coordination with collection agencies when necessary; however, the primary focus of this role is medical billing, claims management, and insurance resolution.

Responsibilities include:

• Submit, review, correct, and follow up on electronic and paper medical claims for Medicare, Medicaid, Commercial, HMO, and PPO payers.
• Research and resolve claim denials, rejections, edits, underpayments, and outstanding insurance balances.
• Review billing for accuracy, completeness, and compliance with payer guidelines and billing regulations.
• Analyze accounts to reduce aging and improve reimbursement outcomes and cash flow.
• Identify and resolve billing issues arising from coding, registration, insurance eligibility, authorization, or claim processing errors.
• Serve as liaison between payers, patients, providers, referral sources, and internal departments regarding billing and claim resolution.
• Review third-party payment listings and take appropriate action to prevent account aging.
• Make recommendations regarding account resolution and escalation needs when appropriate.
• Assist with payment posting activities, patient payment arrangements, and collection processes as needed.
• Maintain confidentiality of all patient medical, financial, and personal information in accordance with HIPAA and organizational policies.

Preferred qualifications include strong experience working with Medicare, Medicaid, and Commercial insurance billing and follow-up, along with demonstrated knowledge of claim resolution and denial management processes. 

When you'll work as a Billing Specialist at HealthNet:

• Full Time
• Potential schedule of Monday-Friday 8am-5pm.

Job responsibilities listed above is a summary and does not include other tasks requested by Revenue Cycle Manager.

Who is HealthNet?

https://www.indyhealthnet.org/

HealthNet is a nonprofit 501 (c) (3) organization of community-based health centers located in Indianapolis and Bloomington, IN Since 1968, HealthNet has improved the health status of the neighborhoods it serves by making quality health services accessible to everyone. HealthNet annually provides affordable health care to more than 61,000 individuals through its network of 9 primary care health centers 5 dental clinics, 9 school-based clinics, a mobile health unit, and additional support services. HealthNet’s mission is to improve lives with compassionate health care and support services, regardless of ability to pay. 

Requirements:

(Please, consider applying if you do not meet the list of criteria below. We would love to engage for other possible opportunities or explore your areas of skill a little deeper)

What you’ll need as a Billing Specialist at HealthNet:

• Currently not sponsoring for work visa.
• Requires High School Diploma or GED.
• Understanding of both Federally Qualified Health Centers and Commercial billing and collections.
• Certification in coding & billing preferred. 
• Knowledge and understanding of Medicare/Medicaid, Commercial Insurance regulations and billing requirements. 
• Participate in monthly training programs for staff on policies and procedures related to billing and collection, including proper coding, use of sliding fee scales, and financial screening.

SET YOURSELF APART: Preferred Qualifications

• Experience in third party billing/collection with in-depth knowledge of specific third-party payer requirements.
• Requires working knowledge of medical terminology and basic medical coding practices (UBC; CPT4; HCPCS; ICD-9).
• Requires knowledge and proper application of remote electronic inquiry systems for Medicare; Medicaid; Blue Cross and/or all other Commercial payers.
• Requires ability to process adjustment claims to Medicaid and Medicare payers on resolution of credit balance claims.
• OB/GYN coding experience preferred. 
• Bilingual in Spanish or Burmese preferred, but not required.

The skills you’ll bring as a Billing Specialist at HealthNet:

• Strong written and verbal communication skills.
• Ability to work independently, handle detail and work efficiently and accurately under pressure.
• Ability to multitask. 
• Ability to handle sensitive patient data and must maintain a high degree of confidentiality.
• Excellent customer service/listening skills.
• Reliable transportation required. 

Why work for HealthNet?

• Competitive Compensation
• Medical, Dental, and Vision Plan
• Short-Term & Long-Term Disability 
• Health Savings Account & Difference Card Available within certain medical plans
• Flexible Spending Account
• Life Insurance, AD&D 
• Group Accident, Critical Illness & Hospital Indemnity
• Domestic Partner Leave
• Wellness Programs
• 401k Match
• Paid Time Off accumulates at start of employment and available to use.
• Tuition Reimbursement
• Employee Referral program

Fair Labor Standards Act Classification: Non-Exempt

EQUAL EMPLOYMENT OPPORTUNITY:

HealthNet is an Equal Employment Opportunity Employer and employment decisions are made without regard to race, color, sex, religion, national origin, age, disability, sexual orientation, or any other category protected by federal, state, or local law.