SUMMARY

Under the direct supervision of the Billing Manager, oversees all aspects of the billing process including charges, statements, posting all payer and patient receipts, balancing daily, follow-up on all claims, working rejections, and problem solving with bother payers and patients.

ESSENTIAL DUTIES AND RESPONSIBILITIES including the following.

• Responsible for entering any charges necessary including hospital charges.
• Processing and mailing of all statements.
• Post all payers and patient receipts to patient accounts.
• Balancing of charge and receipt summaries on a daily basis and reviewing with the Finance and Compliance Manager.
• Follow-up and problem solving on any unpaid claims.
• Work all rejections to insure adequate payment in a timely manner.
• Maintains a courteous, helpful, and conscientious attitude in dealing with co-workers, patients, and their families, ensuring professionalism and confidentiality at all times.
• All other duties as assigned.

SUPERVISORY RESPONSIBILITIES

This position has no supervisory responsibilities.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION AND/OR EXPERIENCE

One-year certificate from college or completion of insurance billing course; preferred certified coder and/or a minimum of five years medical billing experience and or training; or equivalent combination of education and experience.

LANGUAGE SKILLS

Ability to write routine reports and correspondence. Ability to speak effectively and professionally, before customers or employees of the organization.

MATHEMATICAL SKILLS

Ability to add, subtracts, multiply, and divides in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percents, and to draw and interpret bar graphs.

REASONING ABILITY

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

CERTIFICATES, LICENSES, REGISTRATIONS

Completion of ICD9/ICD10and CPT Coding courses. Certified coder certification.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee is occasionally required to stand; walk; reach with hands and arms; and stoop, kneel, crouch, or crawl. The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds, and occasionally lift and/or move up to 50 pounds.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently exposed to fumes or airborne particles. The noise level in the work environment is usually moderate.

SECURITY LEVELS

Ntierprise: Level 5

DENTIX: No Clearance

A4: Level 5