This Position is responsible for review of
daily patient account transactions with a high level of speed and
accuracy. Assists with the collection of
insured accounts and maintenance of documents.
Posts payments to transactions to patient accounts accurately.
DUTIES AND RESPONSIBILITIES:
insurance/patient payment posting and resolves payment transaction
discrepancies with assistance from the Lead/Supervisor/Manager when necessary.
knowledge of ICD-10, CPT, and HCPCS to review chart notes and ensure
appropriate codes are assigned to all claims regarding diagnosis and procedures
for provider services performed.
knowledge of payor websites and practice management systems with the ability to
recognize and resolve front/back end claim denials from assigned payors and all
others as determined necessary by the Billing Supervisor/Manager, utilizing
collection procedures and adjusting of patient accounts when necessary.
patient questions regarding statements in person and through phone calls.
of appropriate third party liability (TPL) and government websites (i.e.
CHAMPS, C-SNAP, WebDenis, HMO Medicaid websites preferred, and working
knowledge of ICD-10, CPT, and HCPCS.
to use Microsoft Office, Internet, practice management system and relational
database system software.
to work effectively and efficiently under tight deadlines, high volumes and
all departmental and organizational meetings as required.
willingness to make decisions, resolve conflict and delegate work assignments
in a timely manner
to change, takes responsibility for own actions to advance team goals
Speaks and writes clearly and persuasively in formal
and informal presentations
Actively participates in meetings and uses listening
skills to keep an open mind
Solicits input from appropriate stakeholders,
explains reasoning for decisions and uses strong interpersonal skills to
communicate and influence others
Gives recognition to others for results
team and individual responsibilities while assessing own strengths and
objectivity and openness to others’ views
feedback, builds positive team spirit, supports all team members
alternative solutions, supports and share expertise with other team members
while building positive morale
knowledge of company policies and treats people with respect
ethically and with integrity, upholds organizational values
commitments, shows respect and sensitivity for cultural differences
others on the value of diversity, promotes a positive work environment where
all feel free to contribute
task correctly and on time, and develops strategies to achieve organizational
goals and values
action and respect diversity, understands organization’s strengths and
weaknesses, analyzes market and competition, and identifies external threats
and opportunities while adapting strategy to changing conditions
Prioritizes and plans
work activities while understanding business implications of decisions
Demonstrates accuracy and
thoroughness within approved budget and displays original thinking and
Displays knowledge of
market and competition that aligns with strategic goals
Meets challenges with
resourcefulness, generates suggestions for improving work, develops innovative
approaches and ideas
Displays passion and optimism while exhibiting
confidence in self and others
Inspires respect and trust while motivating others
to perform well and influencing actions and opinions of others
develops workable implementation plans, includes staff in planning,
decision-making, and process improvement
completes changes and progress of projects on time and on budget while managing
project team activities to overcome resistance
Makes self-available to
staff, provides regular performance feedback
individual team member skills and encourages growth
Safety and Security
safety precautions and security measures to ensure the safety of both staff and
to data security guidelines, including appropriate use of EMR systems and IT
TYPICAL WORKING CONDITIONS:
- The noise level in the work
environment is usually quiet to moderate.
TYPICAL PHYSICAL DEMANDS:
performing the duties of this job, the employee is regularly required to
use hands for use of a PC as well as other office equipment.
employee is frequently required to stand; walk; sit and talk and use
hearing to listen. The employee is occasionally required to reach with
hands and arms and stoop, and kneel.
employee must occasionally lift and/or move up to 25 pounds.
vision abilities required by this job include close vision, color vision
and ability to adjust focus.
- Demonstrates accuracy and thoroughness; Looks for ways to improve
and promote quality; Applies feedback to improve performance; Monitors own
work to ensure quality.
- To perform this job successfully, an individual should have working
knowledge of Microsoft Office utilizing Excel Spreadsheet software and
Word processing software. Ability
to use Internet, practice management system and relational database system
software. Must have the ability to
learn additional software to support the Accounting/Finance function.
- Ability to work effectively and efficiently under tight deadlines,
high volumes and multiple interruptions.
- Must have a minimum of a high school diploma
- Prefer an Associate Degree in Business with emphasis in
Accounting/Finance from an accredited college or university in addition to
one year of experience or equivalent combination of education and
- Prefer knowledge of EPIC system; appropriate third party liability
(TPL) and government websites (i.e. CHAMPS, C-SNAP, WebDenis, HMO Medicaid
websites that FHC participates with).
- Working knowledge of ICD-9 and ICD-10, HCPCS and CPT.
Health Center has the right to modify the duties and functions of the job
description based on the needs of the organization.