Billing/Accounts Receivable

BAY COUNTY MEDICAL CARE FACILITY

JOB DESCRIPTION 

DATE:                                F.L.S.A.Class:  Non-Exempt    

TITLE:              Billing Clerk – Part-Time/Temporary (12-20 hours/week) 

WAGE SCALE:       $19.00 - Hire
            $20.00 – 6 months, $21.00 – 1 year  

REPORTS TO: Controller and CFO 

JOB SUMMARY:

Responsible for compiling itemized resident bills, maintaining accurate resident insurance information, and computing resident insurance benefits.  Works closely with the Admissions Department, Medical Records, and physicians’ office staff.  Participates in performance improvement and Quality Assurance.

PRIMARY DUTIES AND RESPONSBILITIES:

1.    Compiles resident bills, completes appropriate forms, and submits claims to proper agencies/insurance companies.
2.    Maintains facility’s Medicaid 2565 in Champs system.
3.    Review with families, all Medicare/Medicaid documents required, and ensure understanding and signatures from resident or resident’s responsible party and answers all questions they may have.
4.    Verifies insurance/demographic information for data entry, including financially responsible party and all contact information.
5.    Working knowledge of, and ability to articulate to future residents/resident’s family, the financial needs and responsibilities involved in the admission process.
6.    Works with senior biller to provide coverage and/or assistance during absences or downtime.
7.    Reviews Medicaid Patient Pay Amounts monthly and adjust accordingly, shares with Accounts Payable Analyst for Representative Payee payments.
8.    Provides direction for resident/responsible party re: Medicaid application process and ongoing follow-up through completion.
9.    Develops and maintains list of payers
10.    Contacts resident/insurance companies to collect unpaid account balances and follows collections process if needed.
11.    Keeps current with changes in Medicare, Medicaid and other payer sources.
12.    Maintains current resident accounts and addresses of resident family and/or Financial Power of Attorney.
13.    Submits all correspondence in a timely manner.
14.    Answers the telephone in a polite and professional manner, and communicates all pertinent information to the appropriate personnel/department.
15.    Interacts with residents/families in a professional manner and provides explanations regarding billing statements and insurance coverage with respect.
16.    Scans and attaches billing and financial records.
17.    Post daily deposits/EFTs.
18.    Maintains a good working relationship within the department and with other departments.
19.    Maintains a professional working relationship with insurance companies.
20.    Is knowledgeable of Resident Rights and ensures resident privacy and dignity while helping ensure a safe and secure environment for all residents.
21.    Demonstrates the ability to be flexible, organized, and function well in stressful situations.
22.    Completes annual in-service training requirements, maintains acceptable attendance, and dresses in accordance with the Dress Code policy.
23.    Responsible for appropriate use of Facility supplies and equipment to minimize loss, waste and fraud.
24.    Maintains confidentiality of all data, including resident, employee and Facility information.
25.    Performs other duties as assigned.

WORKING ENVIRONMENT AND PHYSICAL DEMANDS

1.    Work is in a normal office environment, with time spent occasionally in a resident care environment with minimal exposure to communicable diseases when using universal precaution methods.
2.    Extended work day (beyond 8 hours/day) may be occasionally required.

JOB QUALIFICATIONS:

1.    One to two years of billing experience, SNF preferred, but not required.
2.    Completion of a certificate program in medical billing, or comparable experience in medical billing.
3.    Thorough understanding of regulations and standards of Medicare, Medicaid, HMO’s, PPO’s, and private insurance companies.
4.    Working knowledge of Medicaid’s applications and eligibility requirements.
5.    Basic computer knowledge and data entry skills.
6.    Ability to be flexible, organized, and function well in stressful situations. 
7.    Valid, unrestricted driver’s license
8.    Skills necessary to troubleshoot and resolve billing software related problems.
9.    Ability to make mathematical calculations with speed and accuracy.
10.    Interpersonal skills necessary to work with all levels of personnel, residents, families, and third party payers regarding overdue accounts.  
11.    Ability to handle administrative pressures of the office, work on projects requiring concentration and attention to detail, and to perform data entry for prolonged periods of time.
12.    Completes work within designated time.
13.    Wears identification while on duty; uses computerized punch time system correctly.