GENERAL STATEMENT OF DUTIES: Performs mid-level professional work related to Account
Receivables insurance billing, which is related to Federal, State and Other 3rd Party consumer services in a Behavioral Health and/or Integrated Care environment. The multiple funding sources involves various components. Processes billing in an Electronic Health Record (EHR) and/or Electronic Medical Records (EHR & EMR) system
TYPICAL WORKING CONDITIONS: Works in an office environment. Requires managing of a number of competing work priorities in a time-restricted environment. Requires the ability to work a flexible schedule as necessary to accommodate deadlines.
EXAMPLES OF DUTIES:
1 Performs fee for service billing functions in an ERR system in a timely manner. Involves processing and reviewing services in a timely fashion in order to meet unit deadlines.
2. Runs reports and queries to prepare and/or review recorded service entries and perform quality assurance verifications
3. Research insurance denials, rejections and problem accounts; resolves discrepancies, requests adjustments and refunds
4. Electronically and manually processes claims/bills to insurance companies, contractual agencies and self-pay consumers
5. Posts adjustments and payments to consumer accounts; verifies receipts against Accounts Receivable; researches and resolves discrepancies
6. Updates consumer and recorded services data in an EHR system
7. Provides excellent customer service to consumers, staff, third party payers and other agencies related to billing and reimbursement issues in person, via telephone and/or in writing
8. Assists in the accumulation and review of financial data to be used in preparation of budgets, reports, and general financial management activities
9. Assists in preparation of financial and procedural reports and narratives.
10. Operates computer, calculators, telephones, copy, fax machine, and other general office equipment
11. Maintains systems in accordance with departmental policies and procedures
12. Other duties as assigned
Administrative Services
- Will abide by all HIPAA and privacy policies, guarding the private health information of all individuals under our care.
- Will strive to maintain positive internal and external customer service relationships.
- Must be able to plan and organize work effectively and ensure its completion.
- Must be able to demonstrate reliability by arriving to work on time and taking breaks in expected time frames.
- Will be expected to meet all productivity requirements.
- Must be able to demonstrate team behavior and must be willing to promote is team-oriented environment.
- Must be able to demonstrate initiative; strives to continually improve processes and relationships.
PERFORMANCE REQUIREMENTS:
- Knowledge of healthcare systems, including HMOs, third party indemnity plan insurers, state and federal regulatory agencies and local human service systems.
- Thorough knowledge of the details of Medicaid, Medicare, and other public sector benefit programs.
- Understanding of EHR/EMR system concepts and functionalities.
- Familiarity with service items (CPT/HCPC and any Applicable billing codes).
- Knowledge of collection techniques and business office procedures.
Skills:
- Proficiency in mastering multiple electronic systems
- Data analysis across various sources
- Excel and Word document development
- Effective written and verbal communication
- Excellent customer service and relationship development skills
- Adaptable
Abilities/Competencies:
- Compile, analyze, reconcile and verify billing records
- Translate data into meaningful reports
- Work effectively and establish a rapport with others
- Assess information, recommend enhancements and assist in implementing new procedures
- Manage and coordinate several complex billing operations concurrently
Experience: Four years' experience in Accounts Receivables, which includes medical billing,
bookkeeping and/or accounting. Work requires knowledge of a specific vocational, administrative,
or technical nature which may be obtained with one/two years of advance study or training past
the high school equivalency. Junior college, vocational, business, and technical or correspondence
CERTIFICATE/LICENSE: Possession of a valid driver's license and acceptable driving record as reported by the Department of Motor Vehicles are required for persons using a personal or City vehicle
Job Type: Full-time
Pay: $19.82 per hour
Expected hours: 40 per week
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Physical Setting:
- Office
Schedule:
- 8 hour shift
Experience:
- Microsoft Excel: 1 year (Required)
- Data analysis skills: 4 years (Required)
License/Certification:
- Driver's License (Required)
Ability to Relocate:
- Norfolk, VA: Relocate before starting work (Required)
Work Location: In person