Medical Billing Rep, FT
About The Position
Full-time, Monday thru Friday Minimum pay is $17.50/hour. The pay rate will be higher based on related experience. JOB SUMMARY Prepares, processes, follows up and collects all billings for all payer types for services provided by the Village/consistent with government regulations, contractual obligations, and village polices. Supportive of the Village’s mission, values, and service/hospitality (PRIDE) expectations. Completes training as required by policy. ESSENTIAL JOB FUNCTIONS Ensures accurate billings to all payors for services provided to residents. Submits claims to Medicare, Medicaid and commercial /third parties. Prevents collectable accounts from becoming uncollectible/delinquent. Reviews account balances, aging and other information to collect accounts in a timely basis. Maintains accurate documentation and follows all established policies to write off uncollectible accounts. Documents collection efforts. Maintains an accurate knowledge of applicable billing regulations and billing rules related to specific payors. Ensures resident inquires are handled in a professional and efficient manner to a satisfactory level. Maintains basic working knowledge of other roles/responsibilities in the department. Coordinates information flow necessary for billing with other departments throughout the Village. Follows HIPPA guidelines when accessing personal health information. Adheres to all safety regulations and requirements. Handles stress well and gets along with others within the workplace and with customers outside the department. Maintains acceptable standards of workplace conduct. The responsibilities described above represent the primary responsibilities of the job. Other responsibilities may be assigned by the supervisor as warranted by business needs. The incumbent is expected to perform all assigned responsibilities.
Requirements
- High school education or general education degree (GED) required.
- A minimum of three to five years of experience in medical billing to all payor types such as Medicare, Medicaid and commercial payors is required.
- Extensive knowledge of claim denial and appeals processes is required.
- Knowledge of applicable regulations related to specific payors such as MCR, MCS insurance, etc. is required.
- Intermediate keyboarding skills are required.
- Intermediate level knowledge of Microsoft Windows and Office Applications such as Word and Excel are required.
- Intermediate level of experience in navigation of Direct Data Entry software (DDE) is required.
- Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
- Ability to write simple sentences, paragraphs, and correspondence.
- Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
- Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
- Ability to apply common sense understanding to carry out detailed but straight-forward written or oral instructions.
- Advanced customer service skills are required.
Responsibilities
- Ensures accurate billings to all payors for services provided to residents.
- Submits claims to Medicare, Medicaid and commercial /third parties.
- Prevents collectable accounts from becoming uncollectible/delinquent.
- Reviews account balances, aging and other information to collect accounts in a timely basis.
- Maintains accurate documentation and follows all established policies to write off uncollectible accounts.
- Documents collection efforts.
- Maintains an accurate knowledge of applicable billing regulations and billing rules related to specific payors.
- Ensures resident inquires are handled in a professional and efficient manner to a satisfactory level.
- Maintains basic working knowledge of other roles/responsibilities in the department.
- Coordinates information flow necessary for billing with other departments throughout the Village.
- Follows HIPPA guidelines when accessing personal health information.
- Adheres to all safety regulations and requirements.
- Handles stress well and gets along with others within the workplace and with customers outside the department.
- Maintains acceptable standards of workplace conduct.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
