Current jobs related to Billing Specialist - Waverly - Community Action Committee of Pike County

Position Impact and Purpose…

Responsible for ensuring Valley View Health Center (VVHC) claims are submitted processed, posted and closed in a timely manner.  Responsible for ensuring all billing aspects on behalf of the Valley View Health Centers.

Key Relationships…

·         Assistant Executive Director for Finance

·         Ohio and Kentucky Department of Medicaid

·         Staff Account

·         Financial Manager – Valley View

·         Managed Care Companies

·         Accounts payable Clerk

·         Direct Supervisor

·         Financial Administrative Assistant

·         Internal Controls

·         Insurance companies

·         VVHC Providers

Key Characteristics and Competencies…

·         Excellent Communicator

·         Working knowledge of medical billing procedures

·         Accurate

·         Familiar with the operation of general office equipment

·         30 keystrokes per 3 minute with a maximum of 3 errors

·         Insurable under agency’s policy

·         Self-motivated and able to multi-task

·         10th grade math proficiency level

·         Ability to handle confidential information in a professional manner

·         Billing competency testing passed prior to completion of instructional period

·         Problem Solving

·         Remain calm in times of crisis

·         Appropriate dress attire

·         Great customer service skills

·         Organization Skills

·         Attention to Detail

·         Works efficiently in fast paced environment

·         EMR and Microsoft Office Products – Computer Skills

·         Confidential - HIPPA

·         Best Billing Practices - FQHC

·         Professional

Essential Functions…

Functional Area: 

Estimated Effort: 98%

Responsibilities, Deliverables, Outcomes and Expectations

·         Provide excellent customer service, including but not limited to helping patients understand their billing and charges for which they are responsible, setting up payment arrangements, etc.

·         Work directly with insurance companies, providers, and patients to get claims processed and paid

·         Responsible for submitting claims electronically through current practice management/clearinghouse. Any claims needing corrections should be completed by the end of the following business day and resubmitted.

·         Ensure all claims are submitted in an accurate and timely manner

·         Responsible for following up on claim denials and resubmit billing as needed

·         Responsible for keeping accurate accounts receivables – accurately logging of payments received from insurance companies and patients while maintaining current records and balances. Monitoring claims, ensuring claims that reach 30 days or older are prioritized and followed up on verifying eligibility and/or re-billing insurance companies.

·         Responsible for reconciling remittance advices and scanning EOB’s

·         Responsible for employee deductions on a bi-weekly basis

·         Assist in preparing documentation for refunds to patients or insurance companies

·         Responsible for processing patient statements and mailing accordingly

Functional Area:

Collaboration and Support

Estimated Effort: 2%

Responsibilities, Deliverables, Outcomes and Expectations

·         Attend meetings, conferences and training sessions related to the duties of this position and disseminate acquired information to appropriate individuals inside and outside of the agency.

·         Serves as a representative of the fiscal department on assigned CAC committees.

·         Assist in performing task necessary to achieve the organizations mission. Any other duties needed to help drive our vision, fulfill our mission, and abide by the organizations values.

·         Serve as a backup for Medical/Dental Patient Access Representatives when needed

Minimum Requirements…

Education: 

High School Diploma or equivalent

Job-Related Experience:

6 months training with computer and bookkeeping background, 1 year experience working in a medical billing setting, 1 year experience operating personal computers, 30 keystroke per 3 minute timed writing with a maximum of 3 errors

Preferred Qualifications…

Preference given to individuals with FQHC experience

Working Conditions…

Position is in a well-lighted office environment.  This position may require occasional local and regional travel to attend meetings, conferences and training sessions related to duties. Work is fast paced and deadline driven. Can involve low-to-moderate levels of stress.