Billing & Collections Specialist

Business Office Billing & Collections Specialist

Knowledge Skills & Abilities :

The Business Office employee under the supervision of the Business Office Director and Business Office Supervisor is responsible for the financial success of the facility as it relates to revenue cycle management. The employee should have a full understanding of each of the processes to maximize reimbursement : collections of all payer types billing and revenue coding insurance benefit interpretation authorization admission sources payer specific requirements contract reimbursement claim editing clearinghouse processing adjudication and appeals / denial management. It is understood that business office clerks will change tasks from time to time to meet the needs of the business.

Behaviors / Abilities

Projects a professional demeanor and appearance while maintaining the confidentiality of patients co-workers and the surgery center and adhering to the HIPAA policy. Reports in good faith any known or suspected activity that appears to violate laws rules regulations or the SP Code of Conduct. Fulfills annual Competency continuing education requirements.

Personal attributes include the ability to be self-directed; demonstrates accountability professionalism and receptiveness to change; seeks guidance direction and assistance when needed. Works under stress and in situations that demand patience stamina endurance and tact while providing impeccable service. Fosters an attitude of teamwork and willingness to assist others and does not refuse performing other job duties as requested within the hospital or hospital outpatient department. Sets priorities responds timely to issues which require a decision and ensure desired results are achieved by means of consistent follow through. Willingly accepts other assignments as the need arises.

Duties and Responsibilities

PEOPLE

• Assigned tasks to be completed accurately and within specified timelines.
• Assures Annual competency education is up to date and completed prior to deadlines.
• Participates in regular departmental staff meetings and facility-wide meetings.
• Always on time for work and attendance is within company policy guidelines
• Willingness to assist in orientation of new staff and ensuring a high level of employee satisfaction and retention.
• Performance self-evaluations to be completed and returned before scheduled date for annual performance review.
• Performs and conducts self in a professional and appropriate manner in all situations
• Demonstrates respect and cooperation in all staff relationships and a genuine willingness to prevent or resolve inter-personal conflicts.
• Demonstrates the ability to participate in and / or implement team decisions.
• Accepts and implements change in a positive and professional manner.

FUNCTIONS

SERVICE

QUALITY

FINANCE

GROWTH

Qualifications :

OTHER DUTIES

Please note this job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee for this job. Duties responsibilities and activities may change at any time with or without notice.

Patient Population :

The patient population served by South Texas Spine & Surgical Hospital is a minimum of 12 years and / or of adult stature to geriatric patients requiring or seeking pain and / or surgical addition our hospital outpatient department patient population served by South Texas Spine & Surgical Hospital is a minimum of 6 months to geriatric patients.

Physical Requirements :

May be expected to lift to 25 pounds or up to 50 pounds with assistance. Work is of light-demand sitting or walking most of the time while on duty. Visual and auditory acuity and manual dexterity essential to performing designated duties required : optimal auditory acuity required; manual dexterity involving the handling of equipment and computers is essential to performing assigned duties. Physical conditions are clean neat and well-lit. May be subjected to stressful situations. Climate control and ambient temperature variances may be experienced associated with a normal office environment. Hours of duty may be irregular or unexpectedly extended due to the requirements of the Business Office.

OSHA Exposure Classification :

Job Category III. Tasks / activities do not entail predictable or unpredictable exposure to blood or other body fluids to which universal precautions apply.

Required Experience :

IC

Key Skills

Medical Collection,Accounts Receivable,Athenahealth,ICD-10,Medical Coding,10 Key Calculator,Detailing,ICD-9,Medical Billing,Microsoft Excel,CPT Coding,Medicare

Employment Type : Full-Time

Experience : years

Vacancy : 1