Job Posting
Level : Experienced
Job Location : Bellmead, TX
Position Type : Full Time
Education Level : High School
Travel Percentage : None
Job Shift : Day
Job Category : Health Care
Description
Primary Duties :
- Maintain a current knowledge of insurance carrier and / or state program claims filing policies and procedures
- Verify patient demographics and financial coverage; update as needed
- Research and verify patient and / or insurance company and / or state program refunds / recoupments
- Adjust patients accounts to reflect changes in payment responsibility
- Verify accuracy of information on paper medical claim forms and mail to selected insurance carriers and / or state programs
- Research patient charges not automatically assigned to selected insurance carriers and / or state programs, make corrections and assign manually
- Maintain patient accounts; give GHC program discounts and / or other adjustments as needed
- Appeal service charges rejected by selected insurance carriers and / or state programs and resubmit amended claim forms
- Process claims / vouchers as needed for insurance plans and / or state programs
- Obtain pre-certifications, prior-authorizations, or referrals for special provider services as needed
- Verify motor vehicle or accident information with patient's insurance carrier
- Maintain work ques with claim errors
- Assist insurance carriers and / or state programs to acquire supplemental patient information needed to process claims
- Assist patients to understand fees for services and billing processes
- Assist patients to make payment arrangements and find financial assistance
- Assist outside providers and vendors to obtain physician billing information
- Assist employees to understand policies and procedures related to billing matters
- Communicate and support training issues with billing staff
- Comply with all regulations related to confidentiality of patient information
- Maintain and / or create new payor and plans as needed
- Able to manage multiple priorities and manage stress appropriately
- Communicates appropriately and clearly with a pleasant and professional manner to all
- Demonstrates excellent judgment in handling situations not covered by written or verbal instructions
- Demonstrates a commitment to the mission, core values, and goals of Waco Family Medicine and its healthcare delivery including the ability to deliver exceptional patient focus with quality, compassion, and respect
- Maintain certifications and website passwords as applicable
Other Duties :
Assist in scheduling patient appointmentsProcess billing statements and balance notification letters to patientsAssist patients to make payments on owed balancesProvide follow-up on patient's payment arrangementsAssist with daily mail dutiesProvide backup support for clerks and other billing staff as neededOther duties as assigned by supervisorPhysical and Mental Requirements :
Visual and auditory accuracyShift length 8 hoursIndoor settingContinuous use of computer, calculatorLong periods of sitting and walkingFrequent use of telephoneFrequent use of stepladderContinuous repetitive grasping and manipulation of both handsContinuous conversational communicationOccasional reaching, standing, squatting, bending, kneeling, twisting and climbingOccasional carrying, lifting, pushing and pulling of up to 10 LbsInfrequent use of personal transportationWorking in a frequently noise environmentContinuously working in a tight areaUnderstand / carry out simple / detailed, oral / written instructionsMemorize and retain instructionsRead and interpret detailed specificationsQualifications
Reports To : Director of Billing Services
Education : High School Diploma or Equivalent required, College Hours preferred
Skills : Computer literacy, knowledge of ICD-10 CM / CPT coding, medical office billing and collection practices, federal / state / local financial assistance programs, strong interpersonal, oral, and written communication skills, excellent telephone, and customer service skills.