Medical Biller

RiverStone Health•Billings, MT

12h•$22 - $27

About The Position

Since 1974, RiverStone Health has had a rich history of providing health services to our community, from our role as the Yellowstone City-County Health Department to seeing patients in our medical and dental clinics as part of a nationwide system of Federally Qualified Health Centers. At RiverStone Health we strive to build a personal connection with everyone we serve to provide optimal complete solutions, within our realm of expertise, to the variety of challenges faced by our patients, clients, and customers. In our medical and dental clinics, we provide care for 20,000 patients each year, more than half of whom are uninsured and rely on our sliding fee scale. In our medical and dental clinics, we serve all patients, regardless of their ability to pay. Job Summary: Performs a variety of tasks in the coding and billing. Claims review and submissions as well as technical accounts payable and receivable functions specializing in billing and collections for all Riverstone Clinic Facilities.

Requirements

High school diploma or GED; plus
Experience with or education of ICD-10 codes.
Computer literacy including MS Excel and Office Suite™ and knowledge of office procedures and equipment
Performs data entry relevant to job duties.
High degree of detail-orientation
Knowledge and understanding of protected sensitive patient health information (HIPAA) and confidentiality
Ability to meet deadlines
Work collaboratively to contribute to a positive work experience
Communicate calmly, focused on the issue, and with empathy
Able to perform each essential duty satisfactorily.
Create and maintain a safe/secure working environment by adhering to safety, security, and health requirements.
Integrates injury, illness, and loss prevention into job activities by attending any necessary training and implementing best practices.

Responsibilities

Obtains billing information from medical and dental care providers.
Analyzes and prepares Medicaid, Medicare, and insurance claims for billing.
Verifies claim accuracy and completion.
Adjusts invoices for patient discounts and amounts based on insurance provider and government program allowances.
Prepare and distribute billing invoices at least monthly.
Performs preliminary “audits” of patient electronic charts to ensure billing information is included and coded properly.
Establishes and maintains patient financial files.
Post charges and payments to patient accounts.
Posts patient and insurance payments against accounts receivable balances into the electronic health record, eCW.
Reconciles differences between actual and expected payments
Enforce RiverStone Health collections policy and procedures.
Set up payment plans for patients.
Respond to questions pertaining to patient invoices, sliding fee discounts and payment plans; discusses payment options and sets up payment plans when
Develop monthly accounts receivable days tracking systems and closely monitor aging accounts. Include discounts applied and write-off percentages tracking.
Enters miscellaneous payments made to RiverStone Health into the deposit spreadsheet or other deposit-tracking system.
Post pharmacy Medicaid payments in pharmacy software.
Investigates anomalies, errors, and discrepancies in accounts.
Processes payment denials and errors and takes appropriate follow-up measures.
Provides guidance that assists new employees with work tasks to new employees in the same or similar class of positions.
Informs the immediate supervisor and designated others about work progress, present and potential work problems, and suggestions to address problems.
Responds to citizens’ questions and comments with courtesy and in a timely manner.
Communicates and coordinates regularly with others to maximize the effectiveness and efficiency of interagency operations and activities.
Attends meetings, conferences, workshops, and training sessions and reviews publications and audio-visual materials to become and remain current on principles, practices, and new developments in assigned work areas.
Performs other functions as assigned by specific programs.
Perform other duties as assigned in support of RiverStone Health’s mission and goals.