Patient Billing Representative - HEALTH

Sedgwick County•Wichita, KS

1d•$17

About The Position

The Patient Billing Representative provides billing support for clinical services to support the Sedgwick County Health Department (SCHD) in their mission to prevent disease, promote wellness, and protect the public from health threats. This position provides billing support for clinical services provided to insured and uninsured clients. The Representative performs the day-to-day billing functions of SCHD in accordance with current acceptable accounting and cost reimbursement principles relating to health care and the Sedgwick County Department of Public Services Division. This position is within the Health Department Finance Program and works with staff, clients, and insurance companies regarding billing in Health Department programs such as Immunizations, Family Planning, and Tuberculosis Control. Employee will provide support during public health emergencies (Activation Level 1).

Requirements

High School Diploma or equivalent.
Twelve months of coursework in HealthCare billing and coding. Coursework can be substituted for related experience.
Must complete Federal Emergency Management Administration (FEMA) IS 100 and 700 courses within 30 days of employment.

Nice To Haves

Two years of experience in healthcare billing or related field.
Two years coursework from an accredited college in HealthCare Billing.

Responsibilities

Verify accurate CPT codes
Verify accurate payor on client accounts
Audit Code compliance that all charges are included on claim
Act as a liaison between insurance company and medical staff
Troubleshoot coding issues in the billing system
Review claims for accuracy, including demographics and coding.
Verify the charges, adjustments, and revenue collected.
Validate that claims go through the process to collect prior to sending the claim to the collection agency.
Respond to clients regarding billing questions and payments
Process customer refunds based on information provided by billing company.
Ensure daily payment information is sent to billing company.
Research client EOB for accurate a payment allocation
Provide training to Health Department Customer Service Associates
Verify the charges, adjustments, and revenue collected.
Act as the Liaison between Health billing system, IT, Administrative Specialist and Medical staff
Confirm all claims are being worked in a timely manner within payor established timelines
Acquire and maintain backup copies of electronic (EOB) details on all accounts.
Submit claims for Set off prior to the beginning of each year
Reconcile bank deposits to the revenues recorded in SAP
Keep up to date records with State of Kansas Setoff program, updating information when payments are received.
Review denied claims and make necessary changes to receive payment. Confirm denied claims are supported by documentation
Reconcile payments with EOB recorded by billing company with revenues in internal accounts receivable
Prove removal of all claims from inventory listing are supported by payment, denials, or write-off’s according to policy.
Audit patient accounts for aging claims