*This position is eligible for a $1,500 signing bonus
SUMMARY:
The primary responsibility of the Billing Specialist/Accounting Clerk is organizing
patient medical costs and sending invoices to collect payment from patients and
their insurers. Duties include calling
patients to discuss payment and develop reasonable payment plans, entering
patient data into administrative systems and recording information about
outstanding claims. Other duties include
entering invoices, following up with past due accounts, submitting insurance
claims, administrative, reception, filing, data entry, clerical, and ancillary
support functions. As time allows, s/he will assist the Administration Director
with the oversight of general office administration. All his/her activities as an employee of JHCCC
will be performed in an ethical, professional manner in accord with the
policies and procedures of MHRS JH and will be subject to the supervision of
the Administration/Finance Director.
ESSENTIAL JOB FUNCTIONS
Responsible for the timely completion of all billing
functions including maintaining accurate records of all patient accounts,
recording charges, payments, submitting reimbursement requests to all payers,
and following up on any denials.
Requirements:
- High school graduate or
equivalent.
- One (1) year experience of
medical billing or any equivalent combination of experience, training
and/or education.
- Certified Professional Coder
(CPC) certification and FQHC experience preferred.
- Experience with QuickBooks
entering invoices.
- A clear understanding of, and
commitment to, the principles of confidentiality in mental health work.
Knowledge,
Skills, and Abilities:
- Working knowledge of CPT and
ICD10 codes and medical terminology.
- Experience in healthcare industry
billing practices including health information technologies and
applications.
- Ability to work independently and
to perform assignments to completely within time parameters.
- Skill in establishing and
maintaining effective working relationships with other employees,
patients, organizations and the public.
- Ability to read and interpret
insurance explanation of benefits.
- Ability to communicate
effectively and professionally in writing, over the phone, and in person.
- Ability to identify
billing/coding errors and request resolution from clinicians.
- Proficient in Microsoft Office
including Outlook, Word and Excel.
- Maintain compliance with Federal,
State, and payer regulations.
- Maintain compliance with all
company policies and procedures.
- Be service-oriented with the
ability to pay attention to details in a fast-paced environment.
Duties
and Responsibilities:
Billing
- Review medical records to ensure
proper coding based on current coding guidelines and conventions.
- Ensure medical records are signed
by appropriate parties.
- Effectively manage coding and
billing related inquiries from providers or patients.
- Ensure that claims are submitted
in a timely manner with a goal of zero errors, to include insurance and
demographic information.
- Timely follow up and resolution
on insurance claim denials, exceptions or exclusions.
- Identify insurance payer denials
and work with insurance payer on resolution, to include appeal submission
with appropriate documentation.
- Identify coding and billing
errors and work with clinical staff on charge entry resolution.
- Timely charge
acceptance/processing and appending necessary modifiers.
- Identifies patterns of billing
errors, inaccurate payments, posting errors and communicates any needed
system changes to direct Supervisor.
- Creates and maintains meticulous
records of follow-up efforts via the billing system.
- Reduces overall delinquent
patient AR. Sends patient
collection notices when necessary.
- Ability to comfortably work with
patients on income information for sliding scale and/or payment plans.
- Understands and adheres to HIPAA
and PHI guidelines.
- Makes necessary demographic
changes to patient accounts to ensure accuracy for future billing.
Accounting/Clerical
- Provides professional and
courteous customer service at all times.
- Working knowledge of current
grants, funds, and other programs available to patients for their
healthcare.
- Timely communication to the
Leadership Team regarding trends with payors/front desk and other issues
that are potentially disruptive to cash flow.
- Review, verify and enter all AP
invoices. Submit invoices that need
approval to proper persons.
- Work with Accounting Manager to ensure
daily credit card batch reports are run and reconciled with patient’s accounts.
- Daily, prepare outgoing post and take
to post office; pick up incoming mail and distribute internally.
- Document and send faxed documents;
route incoming faxes as appropriate.
- Complete or assist in preparing
Medicare and other payer provider applications on behalf of qualified MHRS JH
staff members and maintain and update all qualified staff applications with
payers.
General Administration
- Regular and predictable on-site attendance is an essential function of this position.
- Perform other job-related duties
as assigned.
WORK ENVIRONMENT:
The Billing Specialist/Accounting Clerk
will work primarily in the offices of MHRS JH.
Ability to sit and work in front of a
computer work terminal for 8 hrs/day.
Ability to lift up to 50lbs.