What are the responsibilities and job description for the Medical Billing and Coding Specialist position at Ammonoosuc Community Health Services, Inc.?
Description
ABOUT OUR ORGANIZAITON:
Ammonoosuc Community Health Services (ACHS), established in 1975 is a nationally recognized patient-centered healthcare organization located in Northern New Hampshire. With five strategically placed locations (Franconia, Littleton, Warren, Whitefield, Woodsville), our dedication to delivering comprehensive and compassionate care has solidified our position as a cornerstone of the local community's overall well-being. We take pride in our patient-centered approach, fostering a supportive and healing environment for individuals and families. ACHS offers a range of healthcare services, including primary care, preventive care, behavioral health support, and more. Our dedicated team of healthcare professionals are driven by a shared mission to enhance the overall health and wellness of the community we serve.
ACHS provides a wide variety of benefits, and here are just a few examples:
100% COMPANY PAID BENEFITS
- Vision - plus coverage for your whole family!
- Long-Term Disability
- Basic Life Insurance - 1x your annual salary
- Hospital Indemnity and Accident Insurance
ADDITIONAL VOLUNTARY BENEFITS:
- Additional Life Insurance coverage for spouse and dependents available
- ICHRA Medical Plans via the marketplace
- Dental
- Short-Term Disability
- Critical Illness Insurance
- Cancer Insurance
- 403b Retirement plan with company match
Need Medical Insurance? Our ICHRA (Individual Coverage Health Reimbursement Arrangement) lets you choose from over 20 different plans, so you can tailor your medical plan to your individual or family needs!
Don't need Medical Insurance? If you are covered under a spouse's plan, you get a $150/month Opt-Out payment!
PAID TIME OFF: Earn paid time off (PTO) from your first day! You accumulate PTO with every pay period, and in your first year, you can accrue up to 20 days for holidays (8 per year), personal, and sick time. Plus, the accrual rate increases after your first anniversary!
ADDITIONAL BENEFITS TO WORKING AT ACHS:
- Achieve a work-life balance with a Monday - Friday day shift schedule!
- If selected for jury duty, rest assured - we'll compensate you for the entire day.
- Take Bereavement Leave in the unfortunate event of a loved one's passing.
- Benefit from Tuition Reimbursement to advance your knowledge relevant to your role.
- Spread the word and earn: Enjoy Referral Bonuses for recommending our fantastic workplace to your friends!
- Our Health and Wellness Reimbursement Program matches 50%, up to $100, giving you $50 back when you invest in anything related to your physical or mental health.
Does all of this sound AMAZING to you?! Apply today to potentially join our staff and give back to the communities that you live in!
ABOUT THE POSITION:
Position Overview
The Medical Billing and Coding Specialist will be responsible for the accurate flow of medical information and patient data between providers, patients, and third-party payers. This position will work closely with the Patient Accounts Manager and the Controller to ensure timely and accurate submission of insurance claims as well as to facilitate effective follow-up and receipting of insurance claims. Performs office functions including billing, patient accounts receivable, and accounting for bank deposits. Supports the supervisor and extended administrative team with billing related initiatives.
Key Responsibilities
- Performs third party billing to appropriate sources in a timely manner.
- Maintains accounts receivable system.
- Maintains an inventory system of all forms and supplies necessary for the Billing Department.
- Works with pertinent staff to generate reports, statistics and systems.
- Performs collection procedures for 3rd party and self pay accounts. Researches denials and take backs and appeals.
- Helps in enrollment and credentialing of ACHS providers with insurance companies.
- Enters and approves charges for all ACHS sites.
- Processes secondary billing.
- Posts insurance and patient payments.
- Closes out day sheet and deposits.
- Verifies insurance eligibility and deals with insurance/patient issues.
- Performs periodic chart audits.
- Answers and triage billing department phone calls.
- Other duties, hours, and ACHS site placement may be assigned.
Requirements
Experience & Education Requirements
- 2 years of professional experience
- High School Diploma
Certificates and License Requirements
- CPC Certification or equivalent
Required Knowledge, Skills, and Abilities
- Ability to accept responsibility and account for actions
- Ability to perform work accurately and thoroughly
- Ability to adapt to change in the workplace
- Ability to communicate effectively with others using spoken and written words
- Ability to bring about group solidarity to achieve a goal
- Ability to make critical decisions to solve a problem or reach a goal while following company procedures
- Ability to organize well and follow a systematic method of performing a task
- Ability to find a solution for or deal proactively with work-related problems
- Ability to utilize available time to organize and complete work within given deadlines
- Ability to comprehend and use ACHS computer software
- Demonstrate good knowledge of agency wide policies and procedures
- Understand and effectively use the ACHS Electronic Medical System
