Job Details

About This Role Department Clinics Reports to Clinic Manager Type Full Time, Non Exempt Requisition #12715 Position Summary This position carries out the day to day functions of the billing department, some bookkeeping duties and supports the overall operation of the clinic. Clinic biller is responsible for timely submission of medical claims to insurance companies. Essential Duties and Responsibilities

• Physician/Clinic Medicare, Medical and all third party carriers insurance billing
• Responsible for accounts receivable management, accounts follow up and collection
• Maintain the accuracy of data within the automatic/electronic billing system Prepare and reconcile daily bank deposit
• Review patient bills for accuracy and completeness, and obtain any missing information
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
• Follow up on unpaid claims within standard billing cycle
• Review insurance payment for accuracy and compliance with contract discounts
• Communicate with insurance companies regarding discrepancies in payments when necessary
• Answer and attend to patient or insurance telephone inquiries pertaining to assigned accounts
• Prepare and run monthly financials reports
• Assist in special projects or reports relating to accounts receivable data
• Follows Hospital and Department policies and procedures at all times, including but not limited to: Administrative Manual, Environment of Care, Human Resources, Infection Control, Corporate Compliance, Code of Ethics, etc.
• Attend, actively participate and complete in-services, training classes, mandatory classes, seminars/workshops, staff meetings, exercises and drills; reads all department communication and assigned materials.
• Customer Service - Provides excellent customer service and shows compassion to all patients, visitors and co-workers. Seeks feedback to ensure all needs are met. Anticipates and recognizes the concerns of others, even if those concerns are not openly expressed.
• Communication -- Keeps manager and team informed of progress, problems, development and plans. Gets along and interacts positively with co-workers and others.
• Assist front desk operation as necessary
• Accepts and performs other duties as assigned.

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Values/Core Competencies:

• Integrity - We adhere to a code of values and make commitments that contribute to the welfare of our community.
• Respect - We seek to create a community within our organization that enhances self-worth of individuals working with us and for our patients. The dignity and respect shown to employees by management and by their fellow staff willbe the model for caring for our patients. Management is committed to treating employees fairly, honestly and with respect. In return, management expects a commitment from employees to the values of the organization and its work on behalf of the community.
• Empowerment - we are committed to action and expect all employees to be proactive in decision making and problem solving. We delegate authority to match responsibility, expecting decision making to occur as close to the customer as possible.
• Team Work - We believe that quality, cost effective, compassionate care can only be provided through team work. The nature of our work and mission require sensitivity to the feelings and points of view of many. We work for the good of the team, are accountable for the results of the team and together share our successes or failures. We maintain an atmosphere of openness, honesty and trust.
• Accountability - We accept personal responsibility for our actions and take ownership of our results. We as individuals recognize achievement and are challenged to improve our performance by providing and accepting coaching and feedback.
• Quality Improvement - We will improve value through the process of continuous quality improvement with focus on the relationship between quality and cost. We have a sense of urgency in our search to find better ways of doing everything. We encourage others to try new ideas and measure and recognize results. We are willing to change the status quo to improve.
• Community collaboration and Benefit - We will collaborate within the limits or our resources with other agencies and providers to address the health care wellness needs of our community, recognizing that access to services must be made available regardless of an individual's ability to pay.
• Prudent use of resources - We will use and maintain our assets and resources prudently in order to meet community expectations. Our organization requires an overall positive return on investment to carry out its mission and to invest in new programs, equipment and facilities. We believe that integration simplifies and improves the process of health care and is a means of achieving economies of scale which will ultimately reduce costs. We seek simplification in the process of patient care and the efficient use of our resources in a changing environment.

Qualifications Required

• Knowledge of insurance guidelines including HMO, PPO, Medicare, Medicaid, and other insurance payer systems
• Proficiency in use of computer systems and software
• Strong communication skills to interact with patients regarding medical claims and payments
• Ability to effectively present information, both verbal and written
• Ability to take initiative, adapt to changing priorities, and work independently
• Strong time management and prioritization skills
• One to three years of experience in physician/clinic billing with bookkeeping knowledge
• Proficient in automatic/ electronic billing system

Preferred

• High School Diploma or GED
• Knowledge of community resources and cultural needs

Physical Requirements While performing the duties of this job, staff is regularly required to sit, stand, walk, talk and/or listen. He/she uses his/her hands to do computer work, write reports, do equipment set-up/cleaning/storage, clerical support, etc. He/she will be using the phone frequently. Good vision is needed to be able to read schedules, enter accurate data, etc. He/she must have good general health and demonstrate emotional stability so as to carry out the above-enumerated duties.

• Able to lift up to 30 pounds
• Use proper body mechanics when handling equipment
• Standing, walking and moving 50% of the day

Compliance Requirements Complies with Chinese Hospital Compliance Handbook including Code of Ethics and all statutes, regulations, guidelines applicable to federal and state programs. Responsibilities include, following the guidelines and reporting suspected violations of any statute, regulations, agreements or guidelines applicable to all healthcare programs. I have read and understand the duties, responsibilities, and expectations pertaining to the position. I understand that this job description is intended to describe the general nature and level of work performed. It is not intended to serve as an exhaustive list of all duties, skills and responsibilities required. I have been allowed to clarify and ask questions about this job description. Base Pay Scale Starting at $25.26 - $37.86 per hour. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage. xywuqvp Sound like a match?