Billing Associate

Veiovis. • Tamuning, GU

10d

About The Position

Reports directly to the Revenue Cycle Supervisor and is responsible for accurately reviewing, coding, billing, and collecting for all services provided at the FHP Health Center (Medical, Dental, and Vision). Accountable for ensuring that the overall revenue based goals are met through strategic billing and collection efforts of all unsettled and delinquent accounts within TakeCare/FHP Health Center. Essential Duties and Responsibilities Correctly assigns all procedure and diagnosis codes to include modifiers on EMR generated claims. Abstracts data from patient’s medical records to capture all billable charges and maximize reimbursement. Maintains a strict follow-up schedule on all outstanding and aging receivables. Works on all claim denials and appeals to include posting insurance plan payments. Queries providers, nurses, and all clinic staff to clarify/confirm uncertain documentation or service. Assists insurance plan counterparts for any inquiries on related claim matters. Communicates periodically with patients regarding claim balance issues associated with services rendered or insurance plan benefits. Complies with all regulatory mandated requirements for billing, coding, collections, and PHI. Works closely with the rest of the Billing Department and may perform other duties assigned when needed.

Requirements

• High School Diploma or equivalent is required, further education a plus.
• Minimum of (1) year experience in billing and coding with knowledge of the healthcare revenue cycle.
• Effective team player with very good interpersonal relationship skills and can work well with co-workers and patients.
• Must have the behavioral sensitivity, maturity, and diplomacy in handling and addressing irate/complex situations.
• Outstanding oral and written communication skills.
• Strong ethics and a high level of personal and professional integrity.
• Familiarity with federal and local laws and requirements relating to healthcare guidelines and regulations.
• Computer literate and proficient in using MS office programs.

Nice To Haves

• Certification credential from AAPC or AHIMA preferred.

Responsibilities

• Correctly assigns all procedure and diagnosis codes to include modifiers on EMR generated claims.
• Abstracts data from patient’s medical records to capture all billable charges and maximize reimbursement.
• Maintains a strict follow-up schedule on all outstanding and aging receivables.
• Works on all claim denials and appeals to include posting insurance plan payments.
• Queries providers, nurses, and all clinic staff to clarify/confirm uncertain documentation or service.
• Assists insurance plan counterparts for any inquiries on related claim matters.
• Communicates periodically with patients regarding claim balance issues associated with services rendered or insurance plan benefits.
• Complies with all regulatory mandated requirements for billing, coding, collections, and PHI.
• Works closely with the rest of the Billing Department and may perform other duties assigned when needed.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED