Job Description

OF JOB DUTIES:

The person handling this position is responsible for correcting, completing, and processing and collecting payment for claims of all payer codes.

ESSENTIAL JOB FUNCTIONS:

• Daily key punching into computer when needed to assure accuracy of billing for all services rendered in patients account to be completed within 24 business hours of the completed service.
• Ensure completion of documentation and coding on the EMR when needed on charges entered in patient's accounts for a correct and complete billing claim.
• Monthly input of all ancillary services including Nursing Home and Home Health charge encounters into the computer to assure accuracy of services rendered.
• Daily review of all postings before claim submission.
• Daily closing of batches and balancing of money posted.
• Enter cash receipts if needed and assure correct allocations, distribution in accordance with the established protocol.
• Responsible for submitting all electronic claims.
• Responsible for answering Billing Phone calls and providing exceptional customer service to patients with billing related questions.
• Resolving claim denials and issues with claim payment in a timely manner.
• Working to collect patient balances in a timely manner.
• Effectively communicate with providers on claim documentation for charges submitted.

Knowledge/Skills/Abilities:

• Ability to work under pressure.
• Ability to handle multi-functions/multi-tasks.
• Ability to problem solve.
• Pay attention to detail.
• Understanding of community-based organizations.
• Ability to communicate with the medical/dental staff and Office Managers.
• Some knowledge of bookkeeping and office functions.
• Some knowledge of CPT and ICD10 codes.
• Ability to work proficiently and efficiently on a timely manner.
• Knowledge of all payer codes.
• Knowledge of all programs offered by NHSI.

Qualifications

MINIMUM REQUIREMENTS

• High School Diploma or Equivalent
• CPC Certification required
• At least 3 years of billing and coding experience (outpatient/medical practice coding experience preferred)
• (2) Training or background in ICD-10 / CPT codes.
• Knowledge of medical terminology and billing practices.