Practice Account Specialist

4 weeks ago

Pensacola, United States West Florida Medical Center Clinic PA Full time
Job DescriptionJob DescriptionDescription:

JOB SUMMARY

Practice Account Specialist I is a multi-skilled person trained to facilitate medical practice charge entry and other accounts receivable activity. Practice Account Specialist I assists patients, practice manager, physician and clinical staff to ensure operational efficiencies related to charge entry or other account receivable activities.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Review all charge entry documents for complete information in preparation for entry into Context or Plus.
  • Verify all necessary referral and authorization information is entered into system prior to charge entry.
  • Verify and update demographics and insurance in the practice management system prior to charge entry or as needed.
  • Post CPT-4, ICD-9-CM, ICD-10-CM and HCPCS codes by reviewing source documentation, coding policies and procedures and applicable carrier guidelines using Context or Plus, keeping a high level of accuracy.
  • Key and release charges into the charge scrubbing system daily.
  • Maintain a ‘check and balance’ system by comparing charges posted with the physician scheduled on a daily basis.
  • Review and resolve context claim coding edits on a daily basis.
  • Assist with the creation of Context rules for denial prevention as needed.
  • Complete necessary paperwork for the creation of Context rules to aid in denial prevention.
  • Resolve coding-related claim denials on a weekly basis.
  • Communicate with physicians as needed to facilitate accurate coding and billing.
  • Research coding issues and report to Practice Manager or VP of Operations.
  • Resolve all outstanding items on the Missing Service Report (MSR) weekly.
  • Collect all co-payments, deductibles and other monies owed at the time of service. Follow established protocol for receipt writing, cash collections, and nightly deposits.
  • Attend all required training, coding seminars or monthly meetings as required.
  • Complete deposit log at end of each day.
  • Identify yourself to internal and external customers by wearing your identification badge at all times.
  • Greet patients with courtesy and respect. Answer questions and direct requests appropriately and efficiently.
  • Answer telephones promptly and in a professional manner according to MCC customer service standards.
  • Operate computer within the guidelines of MCC.
  • Comply with MCC policies as directed, carrier policies, and other protocols associated with the medical practice.
  • Provide back up to the front office by functioning as a PSR III as needed.
  • Other duties as assigned.

CORPORATE CULTURE RESPONSIBILITIES

  • Follow established corporate and department-specific policies and procedures.
  • Attend all corporate and department-specific required training.
  • Uphold MCC’s Purpose, Values, and Vision.
  • Abide by MCC’s Corporate Culture Responsibilities.
  • Perform other duties as may be assigned cheerfully and willingly.
Requirements:

EDUCATION/EXPERIENCE REQUIREMENTS

  • Minimum education requirement is high school diploma, or equivalent.
  • Completion of an approved medical coding curriculum or 1+ years of recent coding experience.

KNOWLEDGE, SKILLS AND ABILITIES

  • Display customer services skills, strong interpersonal skills, close attention to detail, and excellent verbal and written communication skills.
  • Be a person of integrity and character, willing to embrace change and make a positive impact in the lives of patients and co-workers.
  • Ability to work with staff members at all levels of the organization in a cooperative, team-oriented manner.
  • Displays computer proficiency (i.e. PC windows and MS Office environment) and ability to quickly learn new applications. Preferred ability of typing 40 cwpm.
  • Proficient in use of English language both in written and verbal communication.
  • Must be able to communicate with individuals of varying socio-economic backgrounds.
  • Displays ability of giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
  • Professional demeanor and recognition of privacy considerations for patients and families.
  • Desire to advance coding skills/knowledge.
  • Must possess high ethical standards in the field of medical coding.
  • Must possess a basic understanding of the reimbursement process.

PHYSICAL REQUIREMENTS OF THE ESSENTIAL JOB FUNCTIONS

  • Strength (Lift/Carry/Push/Pull): Sedentary (exerting up to 10 pounds of force occasionally)
  • Standing/Walking: Occasionally; activity exists up to 1/3 of the time
  • Keyboarding/Dexterity: Frequently; activity exists from ¾ of the time
  • Ability to look at a computer screen for extended periods.
  • Ability to perform constant repetitive hands and finger motions.
  • Ability to work in various positions (standing, sitting, bending, and walking) for extended periods of time.
  • Ability to sit consistently during a minimum 8-hour workday.
  • Talking (Must be able to effectively communicate verbally): Yes
  • Seeing: Yes
  • Hearing: Yes

EMOTIONAL REQUIREMENTS OF THE ESSENTIAL JOB FUNCTIONS

  • Must exhibit stable work behaviors daily.
  • Must possess adequate individual coping skills.
  • Ability to remain calm and professional regardless of workload or time constraints.
  • Must be able to work under stress and remain calm and professional.

WORK ENVIRONMENT

  • Clinical front office environment
  • Exposed to frequent and constant interruptions in daily functions/schedule.
  • Must be available to customers and staff throughout the day.
  • May be required to work extended hours to meet department needs.

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