Job Description

Location: Steward Medical Group - Central
Posted Date: 3/29/2021

To function as a member of the administrative team and complete all daily tasks to ensure smooth day to day operations in busy practice. Responsible for posting, coding, and collection of receivables.

KEY RESPONSIBILITIES

  • Receives and organizes hospital census, charge sheets and other billing data to be coded and entered into the proper spreadsheet or EPM.
  • Contacts various parties to request and/or obtain missing documentation and appropriate coding.
  • Reviews and ensures that correct information/ documentation has been entered into the EPM, EMR and hospital, to be able to code the charges correctly before they are billed.
  • Organizes, compiles and enters all assigned charges and/or payments, balances to the system, maintains spreadsheets and logs as applicable.
  • Reviews all daily charges from the “interface” and corrects errors to ensure proper billing.
  • Enters patient demographic information and charges into EPM. Files hard copy based on visit and information entered.
  • Provides coding feedback to the medical providers regarding billing problems via e-mail.
  • Attains proper documentation from the patient’s medical record and assures that all new or denied claims are corrected utilizing CPT-4 and ICD-9 codes to insure proper reimbursement.
  • Reviews, copies and appeals denials as outlined in the Explanation of Benefits.
  • Audits patient accounts and generates claims for billing secondary claims.
  • Audits patient accounts to ensure that refunds and adjustments are properly done.
  • Handles the “CBO front desk” collections and patients with billing enquiries.
  • Research and contact various parties to obtain information to submit corrected data for re-billing. Such as researching addresses from returned mail, contacting the patient for correct billing information, calling hospitals and other agencies for proper documentation, etc.
  • Timely communicates, verbal or written, with payers to expedite collections.
  • Handles “Billing Phone” for all patient billing questions in a timely manner.
  • Contacts patient to inform them of coverage of services and their responsibility prior to appointment date. (diabetes management, etc)
  • Call insurance companies to verify insurance eligibility and coverage. Requests appropriate referrals when required by the insurance companies.
  • Follows Universal Precaution Procedures while performing applicable duties.
  • Complies with the facility privacy policies and procedures for the management of protected health information (PHI)
  • Understands that ignoring situations where PHI may have been potentially compromised comes with legal ramifications to both the practice and myself.
  • Utilizes appropriate Personal Protective Equipment in the performance of duties.
  • Demonstrates knowledge of policies and procedures applicable to job position.
  • Maintains computer skills, keeps up with coding and billing updates necessary to insure accuracy and efficiency in the performance of all assigned job duties.
  • Adheres to infection control and safety policies, including education, reporting and practice implementation specific to job position.
  • Helps to maintain the office area to reduce the risk of safety hazards and enhance general appearance.
  • Protects and honors patient and co-worker confidentiality.
  • Consistently adheres to Agency dress code.
  • Work independently or as a “Team” and without direct supervision by prioritizing work and following through on duties.
  • Meets attendance and punctuality expectations.
  • Behavior toward coworkers, supervisors and patients consistently displays a courteous respectful attitude and promotes teamwork within the organization.
  • Performs other duties as assigned by supervisor.

EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:

• Education from approved medical administrative program or equivalent

• High School Diploma or equivalent

• 1 to 3 years of experience as a Clinical Secretary/ Billing Specialist

• Experience with electronic medical record strongly preferred (Athena a plus)

• Experience with Microsoft Office, Word, Excel and Outlook

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

Apply Online