Essential
Duties and Responsibilities
· *Understands and adheres to all regulatory compliance
areas, policies and procedures (including HIPAA and compliance requirements)
· *Complies with applicable laws and regulations
· *Knowledge of healthcare billing and collections
practices
· *Obtains authorization and qualification documentation
· *Processes new claims, corrected claims, and appeals.
Responds to denials, questions, and resolves issues in a timely manner to
ensure patient and employee satisfaction
· *Collects co-pays and deductible amounts
· *Conducts insurance verification and eligibility for
services
· *Prepares complete and accurate files for Billing
Department
· *Provides information by answering questions regarding
payments and eligibility
· *Collaborates with other internal departments as well as
external parties as appropriate to reach a resolution on outstanding debt being
owed
· *Maintains accuracy and quality control throughout
patient contact and data input
· *Assists front office staff with inbound and outbound
phone calls, receiving faxes, collecting patient information, data entry into
software system, and processing paperwork
· *Develops and maintains a working knowledge of current
Medicare, Medicaid, and insurance regulations
· *Develops and maintains working knowledge of current
services offered by the company and all applicable regulations
· *Enhances organization reputation by accepting ownership
of duties and promoting a caring and supportive environment consistent with our
mission
· *Practices safe work habits, ensuring a safe work
environment
· *Provides technical assistance as required
· *Provides thorough review and Quality Assurance for
medical necessity and documentation requirements of payors and regulatory
bodies
· *Able to utilize AdvancedMD PM/EHR software
· *Performs other duties as assigned
QUALIFICATIONS
Employment
is contingent on
· *Background investigation
Education
and/or Experience
· *High school diploma or GED equivalent
· *Three or more years of related prior work experience in a
team-oriented environment
· *Strong customer service background
· *Information Technology (IT), including coding skills,
preferred.
Skills,
Knowledge and Abilities
· *Effectively communicate in English; both oral and
written, with providers, employees, and patients to ensure questions and
concerns are processed in a timely manner
· *Helpful, knowledgeable and polite while maintaining a
positive attitude
· *Interpret a variety of instructions in a variety of
communication mediums
· *Knowledge of insurance policies and requirements
· *Knowledge of mental health or medical billing practices
and reimbursement
· *Maintain confidentiality and practice discretion and
caution when handling sensitive information
· *Multi-tasking, along with attention to detail
· *Read and successfully interpret written directions
and/or instructions in English
· *Self-motivation, organized, time-management and
deductive problem solving skills
· *Sense of urgency and responsiveness to providers,
employees and patients
· *Work independently and as part of a team
· *Proficiency with Microsoft applications including but
not limited to Outlook, OneDrive, Word, Excel, etc.
· *Able to perform complex detailed, confidential work in a
highly distracting environment preferred
Physical
Demands
· *Lifting of 10lbs.
· *Requires sitting, walking, standing, talking or listening;
extensive hours sitting at a desk
· *Requires close vision to small print on computer and or
paperwork; extensive hours working on the computer
Work
Environment
· *Office environment
Job Type: Part-time or Full-time
Availability