MEDICAL ACCOUNTANT I - 64006598
About The Position
This is a highly responsible and independent fiscal position working under the direction of the ACCOUNTANT SUPERVISOR I - SES in managing the departments financial and business functions of all aspects of the Accounts Receivable and Billing Operations of multiple county health departments as defined by appropriate inter-agency agreements. For all counties as appropriate, plan, direct and coordinate accounting, collection and billing functions including: recording services; billing for services; monitoring accounts receivable/billing reports; bill file creation process; processing of payments and denials; processing client statements contract and MAO invoicing; write-offs and collections. Audits, analyzes and reviews services for verification of all insurance information; makes necessary determination as to the correct insurance and processes all claims accordingly. Researches claims for Medicaid, Medicare and other third party insurance. Contacts insurance carriers when necessary to re-evaluate claims for payment. Responsible for collaborating with other departments if necessary. Reviews claims for CPT and ICD codes for accuracy. Maintains a working knowledge of Medicaid, Medicare and various insurance billing policies, which includes but is not limited to: service limitations billable under CSR/managed care and service limitations/billable by billing type. Ensures HMS has been updated as appropriate in areas related to billing with current fees, provider numbers, NPI, taxonomy and license numbers, etc.
Requirements
- Ability to plan, organize and coordinate work assignments
- Ability to prepare and maintain a variety of records
- Ability to conduct research, analyze, and evaluate data and prepare reports
- Must be willing to physically come in the office to perform the duties & responsibilities of the positions
- Must have current authorization to work in the United States without employer sponsorship
- Ability to learn and communicate effectively, orally and in writing, in English.
Nice To Haves
- Experience with HMS, MS Word, and Excel
- Experience with Medicaid, Medicare and various insurance billing policies
- Knowledge of CPT and ICD-10 coding
- Experience verifying insurance and the accuracy of payments
- Experience following up on denied or unpaid claims
Responsibilities
- Plan, direct and coordinate accounting, collection and billing functions including: recording services; billing for services; monitoring accounts receivable/billing reports; bill file creation process; processing of payments and denials; processing client statements contract and MAO invoicing; write-offs and collections.
- Audit, analyze and review services for verification of all insurance information; make necessary determination as to the correct insurance and process all claims accordingly.
- Research claims for Medicaid, Medicare and other third party insurance.
- Contact insurance carriers when necessary to re-evaluate claims for payment.
- Collaborate with other departments if necessary.
- Review claims for CPT and ICD codes for accuracy.
- Maintain a working knowledge of Medicaid, Medicare and various insurance billing policies, including service limitations billable under CSR/managed care and service limitations/billable by billing type.
- Ensure HMS has been updated as appropriate in areas related to billing with current fees, provider numbers, NPI, taxonomy and license numbers, etc.
Benefits
- Annual and Sick Leave benefits
- Nine paid holidays and one Personal Holiday each year
- State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options
- Retirement plan options, including employer contributions
- Flexible Spending Accounts
- Tuition waivers
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
