Billing & A/R Specialist

Job Description

Job Description

Billing and A / R specialist requirements include full revenue cycle duties including submitting a clean claim and / or assisting with said submission, verify contractual payment is received and / or appealing a denial, answering patient phone calls and reviewing patient statements, working A / R.

ESSENTIAL DUTIES AND RESPONSIBILITIES

The following statements are illustrative of the essential duties of the job and do not include other non-essential or peripheral duties that may be required.

We retain the right to modify or change the essential and additional functions of the job at any time.

1.Accounts Receivable Collections & Management

Working directly with the insurance company, healthcare provider, and patient to get claims processed and paid

Reviewing and appealing unpaid and denied claims

Running A / R reports.

Working Unpostables, denials, and claims worklists per Athenahealth Best Practices.

Answering phone calls with patients’ billing questions

2.Productivity

Clearing a minimum of 20 claims per day out of assigned claims worklist

Keeping A / R less than 180 days

Answer patient phones calls as per assigned position on the phone tree, minimizing voicemails

3.Policies

Work within guidance of Billing Compliance Plan

Work within Billing Guidelines

4.Maintain and follow strict privacy, confidentiality, and safety protocols. Comply with all government regulations around the following :

HIPAA

OSHA

PCI DSS

5.Other Administrative Duties

Maintain a clean and organized work environment

Deliver faxes to billing department staff member when appropriate

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required for this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Minimum Education / Experience

High School Diploma or High School Equivalency

Strong computer skills required

5 years healthcare experience

2 years billing experience

Preferred Education / Experience

Some college medical, business, accounting focus

Bilingual

EMR experience preferred Athenahealth practice management system

Certified biller, coder, and / or 5 years experience billing, coding, or high level of insurance knowledge

CUSTOMER SERVICE EXCELLENCE

Provide customer service in accordance to clinic mission

Demonstrate ability to be courteous and respectful when interacting with patients and family members

Maintain patient confidentiality in accordance to policy and procedure and HIPAA requirements

Enact proper chain of command for patient complaints

LANGUAGE SKILLS

Ability to effectively present information and respond to questions from groups of managers, patients, and the general public

MATHEMATICAL SKILLS

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals

REASONING ABILITY

Ability to define problems, collect data, establish facts, and draw valid conclusions

APTITUDES AND TEMPERAMENTS REQUIRED

Must have a high level of energy with the ability to adjust to any justifiable pace.

Make decisions based more on fact than feeling

Exhibit behavior which emphasizes compassion, quality, loyalty and conscientiousness

Ability to establish and maintain effective working relationships with patients, their families and staff members

SUPERVISORY RESPONSIBILITIES

This position does not have any supervisory responsibilities

JOB ELEMENTS / WORKING CONDITIONS

While performing the duties of this job, the employee is regularly required to stand; use hands to finger, handle, or feel;

reach with hands and arms; and talk or hear.

Occasionally required to walk; sit; and stoop, kneel, crouch, or crawl.

Frequently lift and / or move up to 10 pounds and occasionally lift and / or move more than 25 pounds.

Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.

Work Environment

The above statements describe the general nature and level of work performed by people assigned to this classification. They are not an exhaustive list of all responsibilities, duties and skills required of personnel so classified.

All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

Salary : $19 - $23 / hour

Benefits Offered :

• Health insurance plan options for you and your dependents
• Dental, and Vision, for you and your qualified dependents
• Company Paid life insurance
• Voluntary options for short-term disability, and long-term disability coverage
• AFLAC Plans
• Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately
• PTO accrued

OnPoint Medical Group is an EEO Employer.

ID22

PM22

PI236113848

Salary : $19 - $23