Overview

Responsible for managing and performing efficient and effective Accounts Receivable functions for physician clients with consistently high productivity as measured by the transaction volume and quality of work performed.

Responsibilities

      where charges are received daily.

       payment postings or upon receipt of appropriate denials.

      balances and noteworthy patient contact.

       aging, changes in reimbursement policy, payments by insurance class, producer, general

       recommendations.

       pertinent to the practice management functions.

             history, also in conjunction with the collection process.

DCH Standards:

• Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook
• Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.

• Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
• Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
• Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.

• Requires use of electronic mail, time and attendance software, learning management software and intranet.
• Must adhere to all DCH Health System policies and procedures.
• All other duties as assigned.

Qualifications

High School Graduate or higher.   Must have minimal of 3 years’ experience as an Account Specialist or Healthcare Medical Biller.    Prior experience do physician/provider professional fee billing is preferred.  Detailed knowledge and experience of insurance coverage processes.  Experience with computer billing/collection systems and experience filing insurance required. Detailed knowledge and experience of all coding/billing/insurance/processes including detailed coding knowledge and experience consisting of at least ICD10CM, CPT, HCPS, utilization of modifiers, bundling edits, etc for Part B, HCFA 1500 claim filing.  Demonstrated ability to work well with public physicians and staff in a mature responsible self-confident manner. Very good interpersonal/communication skills, customer service skills and history of good attendance required.  Must be able to read, write legibly, speak, and comprehend English. 

WORKING CONDITIONS

Physical presence onsite is essential.  Hearing and vision must be normal or corrected to within normal range.  Able to perform the duties with or without reasonable accommodation.

Valid driver’s license and automobile liability insurance. Very good interpersonal communication and customer service skills required.  

Physical:  Medium work – Exerting 20 – 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to more objects.  Physical Demand requirements are in excess of those for Light Work.   Good manual and finger dexterity.  Ability to tolerate prolonged periods of sitting.  Some light driving required. 

Psychological:  Contact with Others, Deal with external customers/clients, sometimes dealing with unpleasant people, occasionally coordinating letters/memos, working with work groups or as a Team constantly/consistently.