Clinic Biller/Collector Team Lead

Hunt Regional Healthcare•Greenville, TX

About The Position

POSITION SUMMARYTo support Hunt Regional Medical Partners' multi-specialty practice in a medical --clerical administrative capacity. POSITION SUPERVISORY RESPONSIBILITIESReports To: PATIENT ACCOUNT MANAGER - HUNT REGIONAL MEDICAL PARTNERSSupervises: NonePOSITION REQUIREMENTSMinimum Education: High School Diploma or equivalentMinimum Work Experience : A minimum of (1) year coding experience in a clinic or hospital settingRequired Skills, Knowledge, and Abilities:A working knowledge of Medicare billing rules, regulations and local medical review policies as they impact reimbursement. Will possess excellent verbal/communication skillsPossess the ability to resolve conflictPossess excellent listening skillsSolid Computer SkillsSolid Customer Service SkillsAbility to Multi TaskSolid Organization SkillsExperience in Medical Office EnvironmentAbility to Work in Fast Paced, Busy EnvironmentJOB SPECIFIC FUNCTIONS1. Demonstrates an understanding of and adherence to the HMHD Compliance Plan. 2. Conduct reflects HMHD's values and a commitment to HMHD's Code of Conduct. 3. Attends the required corporate integrity and compliance training and education programs. 4. Demonstrates proficiency in understanding the materials presented during the corporate integrity and compliance training and education program.5. Complies with all HIPAA standards.6. Process and complete appeals within a timely manner.7. Review incoming bulletins from governmental payers, and share with appropriate personnel.8. Responsible for final coding or inpatient and outpatient physician charges9. Accurately assign ICD-10 CM and applicable CPT codes based on provider documentation in the patient record10. Prompts physicians for additional documentation as needed to clarify correct assignment or ICD- 10 CM AND CPT Codes11. Weekly audits of clinic documentation and education to the providers as needed12. Retrieve medical records and mail to payer in a timely manner.13. Complete follow-up on delinquent accounts by telephone, internet, or correspondence to resolve outstanding balances and to determine payment date.14. Contractual reviewed and adjusted when necessary15. Process and complete assigned bills within 48 hours of receipt.16. Utilize current Age Trial Balance as a resource with a focus on accounts > 30 days in age.17. Review and complete reminders consistently, and in a timely manner.18. Follow-up on pending correspondence and other mail received within 72 hours of receipt.19. Enter accurate and thorough comments on each patient account.20. Resolve issues and/or concerns amicably in a timely manner. Involves direct Manager when needed.21. Promote and demonstrate excellent customer service at all times with internal and external customers to include patients, physicians, co-workers and all other customers.22. Communicates effectively and expresses ideas clearly, actively listens and follows appropriate channels of communication.23. Adaptable and responsive to change.24. Uses time clock accurately and is punctual on a consistent basis.25. Demonstrates a positive attitude in all assigned tasks and towards others.26. Follows "Call-In" policy by notifying direct Manager of absence.27. Absences during evaluation period: 0-6 Occurrences = Meets Requirements. 7 or more Occurrences = Does not meet requirements.28. Adheres to hospital and department dress code. Maintains a professional appearance at all times.29. Consistently contributes to the achievement of excellence in healthcare through the quality and caring values of the mission and vision of Hunt Memorial Hospital District.30. Perform special duties and projects as assigned

Requirements

High School Diploma or equivalent
A minimum of (1) year coding experience in a clinic or hospital setting
A working knowledge of Medicare billing rules, regulations and local medical review policies as they impact reimbursement.
Will possess excellent verbal/communication skills
Possess the ability to resolve conflict
Possess excellent listening skills
Solid Computer Skills
Solid Customer Service Skills
Ability to Multi Task
Solid Organization Skills
Experience in Medical Office Environment
Ability to Work in Fast Paced, Busy Environment

Responsibilities

Process and complete appeals within a timely manner.
Review incoming bulletins from governmental payers, and share with appropriate personnel.
Responsible for final coding or inpatient and outpatient physician charges
Accurately assign ICD-10 CM and applicable CPT codes based on provider documentation in the patient record
Prompts physicians for additional documentation as needed to clarify correct assignment or ICD- 10 CM AND CPT Codes
Weekly audits of clinic documentation and education to the providers as needed
Retrieve medical records and mail to payer in a timely manner.
Complete follow-up on delinquent accounts by telephone, internet, or correspondence to resolve outstanding balances and to determine payment date.
Contractual reviewed and adjusted when necessary
Process and complete assigned bills within 48 hours of receipt.
Utilize current Age Trial Balance as a resource with a focus on accounts > 30 days in age.
Review and complete reminders consistently, and in a timely manner.
Follow-up on pending correspondence and other mail received within 72 hours of receipt.
Enter accurate and thorough comments on each patient account.
Resolve issues and/or concerns amicably in a timely manner. Involves direct Manager when needed.
Promote and demonstrate excellent customer service at all times with internal and external customers to include patients, physicians, co-workers and all other customers.
Communicates effectively and expresses ideas clearly, actively listens and follows appropriate channels of communication.
Adaptable and responsive to change.
Uses time clock accurately and is punctual on a consistent basis.
Demonstrates a positive attitude in all assigned tasks and towards others.
Follows "Call-In" policy by notifying direct Manager of absence.
Adheres to hospital and department dress code. Maintains a professional appearance at all times.
Consistently contributes to the achievement of excellence in healthcare through the quality and caring values of the mission and vision of Hunt Memorial Hospital District.
Perform special duties and projects as assigned