Accounts Receivable Specialist - Charge Entry

CUMBERLAND FAMILY MEDICAL CENTER IN•Russell Springs, KY

19h

About The Position

Cumberland Family Medical Center (CFMC) operates a Federally Qualified Health Center (FQHC) offering a wide range of health and social services at multiple sites throughout Kentucky. We seek employees who support our mission and who actively contribute to our service-driven environment by enhancing patient experience and improving productivity. CFMC offers compassionate care, uncompromising service and clinical excellence. We offer a collaborative environment with excellent benefits, wage/salary commensurate with experience and relevant work experience. Summary of Duties: Responsible for the coding, charge posting and preparation of patient account billing claims.

Requirements

High School Diploma or GED.
Knowledge of medical billing procedures and processes.
Knowledge of CPT, HCPCS and ICD-10-CM coding.
Knowledge of basic medical billing terminology.
Knowledge of business office procedures.
Ability to operate a computer and basic office equipment.
Competency in basic computer functions such as MS Word, Excel and email.
Skill in answering a telephone in a pleasant, professional and helpful manner.
Ability to read, understand and follow oral and written instructions.
Ability to establish and maintain effective working relationships with patients,employees and the public.
Ability to communicate professionally and effectively - orally and by various written methods.
Must be well organized and detail-oriented.
Physical ability to do light lifting, bending and stretching.

Responsibilities

Reviews medical records for completion of documentation per CPT guidelines.
Effectively utilizes internal electronic information systems and third-party resources to perform job functions.
Reviews and assigns CPT. HCPCS and ICD-10-CM codes per FQHC and national coding guidelines. This includes the addition of specific modifiers.
Prepares claims for billing, in accordance with payer and FQHC requirements.
Applies payments to accounts as appropriate.
Communicates with CFMC staff by various means, as appropriate, to ensure the completion and accuracy of documentation and charges.
Answers questions from patients, clerical staff and insurance companies, as appropriate.
Corrects accounts with identified charge or coding errors, as appropriate.
Runs reports or compiles data for reporting, as required.
Reports suspected or identified billing/payment issues to Coordinator or designee.
Participates in educational events, monthly staff meetings and other scheduled activities.
Conducts self in accordance with CFMC’s policies, procedures and employee manual.
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
Other duties as assigned.