GENERAL SUMMARY OF DUTIES: Responsible for working with the physicians and
office staff to ensure that all office visits, consults and surgeries are
billed in an appropriately and in a timely manner, aggressively manages AR,
Follows up on claims payments/status and assists patients to answer any billing
related questions or concerns
SUPERVISON RECEIVED: Practice Manager and Office Manager.
Hours: Monday- Thursday 7:30am-5:00Pm and Friday:
Overtime Status: Non-exempt.
information needed to complete billing process, includes obtaining charge
information from physicians.
notes and compares to codes provided by physician for accuracy, obtains information
about procedures performed and diagnosis information and uses coding expertise
to correct or modify codes when necessary.
submits Surgical claims and E&M claims to clearing house for processing by
insurance provider’s correspondence, signature, and insurance forms.
in completing payment arrangements. Skillfully answers patients’ questions and
information into entry program and produces billing.
recommends, and educates on all coding of services rendered
insurance companies and ensures claims are correctly paid/processed per insurance
insurance claims that have received no response or are not on file.
Works with other
staff to follow-up on accounts until zero balance.
required billing records, reports, files.
initiates, implements and manages business practices, policies, processes and
organizational skills, attention to detail and accuracy
exercise initiative, problem-solving and decision making
interpersonal and communication skills.
Must be a team
customer service-oriented attitude/behavior
educational activities and out of town educational conferences.
strictest confidentiality, HIPAA compliance
Other duties as
within financial policies, procedures and budget with effective use of
compliance in federal, state and other regulations including corporate,
compliance, licensure, safety and security as relates to general office
The job holder must
demonstrate current competencies applicable to the job position.
High school graduation or GED.
-Certified Professional Coder Certification through a Professional Coding
Program, such as AAPC (American Academy of Professional Coders) or AHIMA
(American Health Information Management Association)
EXPERIENCE: Billing and Coding experience- 3 years +
Neurosurgery experience preferred
- Knowledge of billing
practices and clinic policies and procedures.
- Knowledge of coding and
clinic operating policies.
- Knowledge of medical
- Knowledge of various
insurance payer’s including their policies and procedures
- Knowledge of grammar,
spelling, and punctuation to type correspondence.
- Knowledge of accounting
principles as they apply to A/R
- Skill in computer
programs, spreadsheets and applications.
- Skill in using a
- Skill in typing 40 wpm.
- Skill in A/R management
- Ability to understand
and interpret policies and regulations.
- Ability to prepare
documents in response to complaints and inquiries.
- Ability to examine documents
for accuracy and completeness.
- Ability to read,
understand, and follow oral and written instruction.
- Ability to sort and file
materials correctly by alphabetical or numeric system.
- Ability to communicate
effectively and work with others.
ENVIRONMENTAL / WORKING CONDITIONS: Work is performed in an
office environment. Involves frequent contact with physicians, staff, patients
and insurance companies. Work may be stressful at times. Contact may involve
dealing with irate people.
PHYSICAL/MENTAL DEMANDS: Work may require hand
dexterity for office machine operation, stooping and bending to files and
supplies, mobility to complete errands or deliveries, or sitting for extended
periods of time. Manual dexterity for using a calculator or computer keyboard.