Billing Specialist- Occupational Health Clinic

Profile

Billing Specialist- Occupational Health Clinic','Full-time','Administrative/Clerical','Days','Days','80','80','None','None','IOWA-WEST DES MOINES-JORDAN CREEK','','!*!GENERAL SUMMARY:Responsible for monitoring and maintaining the revenue cycle in an outpatient clinic setting. Provides coding, charge entry, payment posting, bookkeeping, insurance expertise, registration and customer service skills to assist the clinic and the patient through the revenue cycle. ESSENTIAL FUNCTIONS:Demonstrates professional, appropriate, effective and tactful written, verbal, and nonverbal communication with patient, families, medical staff, colleagues, vendors, and other departments throughout the continuum of care to promote continuity of care and services and enhance clinic image.Demonstrates positive professional customer service in all patient, staff, and visitor contacts.Utilizes interpersonal skills to establish and maintain healthy interpersonal relationships with healthcare members, patients, and families.Acknowledges patient’s rights on confidentiality issues, maintains patient confidentiality at all times, and follows HIPAA guidelines and regulations.Participates in staff development activities and orientation as requested.Proactively acts as patient advocate, responding to and working to resolve patient concerns.Responsible for following equipment maintenance protocol, identifying problems, and coordinating appropriate repairs.Operation of various office machines (i.e. fax, copier, phone, and computer).Participates effectively as a team member in the clinic  Patient Account Representative:Serves as patient advocate in promoting clarity and understanding of account status. Maintains accounts receivable (i.e. accurately codes, posts charges and/or pay­ments,  requests refunds, etc.)Reconciles charges, payments and/or deposits daily and monthly.Maintains strong and open communication with CBO to ensure accurate and timely maintenance of accounts receivable.Assists with insurance denials for correction and re-filing. Appropriately corresponds with CBO via email.Maintains functional knowledge of insurance terminology and ensures the accuracy of registration data.Acts as resource for billing system functionality.Follows prescribed system to locate patients with undeliverable address.Makes recommendations for disposition of accounts (i.e. financial assistance)Keeps abreast of insurance carrier rules and changes by participating in carrier specific and MCI education opportunitiesAppropriately uses ICD-9 and CPT-4 codes. MARGINAL FUNCTIONS:Work includes cross coverage in other clinic areas as team needs.Maintains supply inventory and stocks supplies in various work areas.Participates in Performance Improvement activities as appropriate.Maintains orderly, neat appearance of work area.Misc. office duties (i.e. greeting patients, answering phones, filing or retrieving medical records, scheduling patient, verifying authorizations, sorting and distributing mail, updating demographic and insurance information).','!*!MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:High School Diploma or equivalency.Specialized or technical training such as would be ac­quired in a college or technical school (i.e. coding, medical assistant). A minimum of two years current experience with ICDM 9, CPT coding, and health insurance provider rules and regulations. Knowledge of: Medical office practices and proce­dures, mathematics, office equipment, medical terminology, clinic policies and procedures, data entry and basic computer experience.Basic Life Support (BLS) for the Healthcare Provider certified or obtained within three (3) months of hire.Proof of completion of Mandatory Reporter abuse training specific to population serve within three (3) months of hire.','We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.','2017-R0140586','Mercy Medical Center','Billing Specialist- Occupational Health Clinic

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