Job description

THUNDER BAY COMMUNITY HEALTH SERVICE, INC.

Job Title: Billing Representative

SUMMARY: All Billing Representatives are responsible for accurate and timely processing Billing/Collection/Payment/Claims/Accounts Receivable duties assigned to each person’s role.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: other duties may be assigned:

Standard Competencies

• Displays courtesy and sensitivity while managing difficult and emotional customer situations. Solicits feedback to improve service and responds promptly to customer’s needs.
• Schedules time off in advance to ensure proper coverage for department. Also begins working on time and works independently throughout the day until it is time to end shift.
• Accepts responsibility for own actions and is able to meet commitments. Asks for help from immediate supervisor when necessary.
• Able to follow policies and procedures while supporting the goals and values of the organization. Also promotes a positive work environment for staff of all departments offering support while working cooperatively with all co-workers.
• Expresses ideas and thoughts effectively. Displays confident communication skills and exhibits good listening. Keeps other adequately informed while selecting appropriate forms of communication.
• Shows a strong initiative and willingness to learn, continually strives to increase personal productivity. Always treats others with respect and consideration as committing to do the best job possible.

Billing & Collection – 30%

• Responsible for following policies and procedures as documented in the Billing & Collection Policies.
• Complies with all organizational policies and procedures in regard to HIPAA and Release of Information.
• Utilizes the Electronic Health Record (EHR) and the Practice Management system appropriately to perform established work plan duties.

Medical Coding – 25%

• Verifies accuracy of procedures and diagnosis code utilizing computer software and/or other resources when necessary.
• Maintains current knowledge of medical codes and terminology.

Data Reporting and Posting – 25%

• Maintains, organizes and evaluates billing records for accuracy and completeness.
• Responsible for ensuring encounters, procedures, and other revenue-producing services are recorded accurately in accordance with applicable regulatory guidelines and TBCHS’s established criteria.
• Verifies and updates patient demographic and insurance information to produce clean claims for the revenue cycle.
• Maintains accounts receivable, revenue cycle, and claims processes and meets set benchmarks.
• Ensures sliding-fee scale discounts are applied accurately to full charges when deemed appropriate and that public insurance funds are utilized when appropriate.
• Applies sliding-fee scale discounts, third-party disallowances, and other gross revenue adjustments and ensure they are recorded in an accurate and timely manner.

Communication – 20%

• Responds to patient and staff billing questions effectively and appropriately.
• Works with supervisor to troubleshoot billing-related issues within directed time frames.
• Processes patient complaints per established policies.

SUPERVISORY RESPONSIBILITIES: This job has no supervisory responsibilities.

EDUCATION and/or EXPERIENCE: Certification as a Certified Coder through approved accredited program required. Two years in Revenue Cycle or coding experience preferred.

CERTIFICATES, LICENSES, REGISTRATIONS: Coding certification is preferred.

PHYSICAL DEMANDS: Light

TRAVEL: Travel between sites may be required.

Job Type: Full-time

Pay: $15.00 - $16.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Alpena, MI 49707: Reliably commute or planning to relocate before starting work (Required)

Experience:

• ICD-10: 2 years (Preferred)
• revenue cycle or coding: 2 years (Preferred)

License/Certification:

• Medical Coding Certification (Preferred)

Work Location: One location

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