Medical Biller Collections

February 2023

SUMMARY:

Responsible for productive and timely revenue generation, maintaining accounts receivable assigned Private Pay Financial Classes. A significant goal is to lead, initiate, develop and maintain interdepartmental communication to prevent delinquent accounts. Assure steady positive cash flow as a member of the billing team.

EXPECTATIONS:

• Arrives on time and adheres to set schedule.
• Bills assigned accounts timely and accurately.
• Performs timely month closing, balancing reports accurately as per Camarena Health protocol.
• Consistently and openly communicates with Billing Supervisor, team members and other staff
• Collects and records data accurately
• Works flexible or extended hours when necessary
• Participates in health center in-services, listening and respecting others’ ideas
• Abides by Rules of Confidentiality
• Demonstrates awareness of, and compliance with, organizational mission and objective of Camarena Health to provide health care access and support services for all members of the community.
• Use of professionalism and best efforts in your position.

DUTIES and RESPONSIBILITES

1. Focus on Billing and Follow-up:

1.1 Timely and accurately assuring steady income stream and maximization of revenue. Assigned financial classes include:

• Private Pay – Financial Class 1,3, and 50
• Patient’s Balance from Private Insurances

1.2 Adjusts accounts according to income verification.

1.3 Follows up on accounts for timely payment (i.e. rebilling, calling, proper coding, etc.)

1.4 Assign delinquent accounts to Collection Agency.

2. Focus on Records, Statistics, and Data:

1.1 Assures monthly closing and balancing of accounts receivable reports are accurate and timely. Reports are submitted to appropriate team members.

1.2 Provides effective feedback to staff involved in the preparation of records and transaction sheets for improvement in accuracy of records

1.3 Performs special data collection projects, reports and other assignments

3. Focus on Teamwork:

1.1 Various other related duties as assigned by supervisor; duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally, either verbally or in writing

1.2 Provides back-up support to Billing Team and Front Support Team.

1.3 As a team member of Camarena Health, the Medical Biller/Collections staff respects and protect information regarding patients and other team members and abides by the rules of the Confidentiality Protocol

Minimum Requirements:

Education:

• High School Diploma or GED

Prior Experience:

• Two to three years clerical experience in healthcare Billing.

Skills:

• Effective problem-solving, initiative, sound judgment and attention to detail to maintain revenues and keep A/R tightly controlled
• Effective system development and maintenance to achieve desired objectives
• Knowledge and experience of basic computer function and computerized data
• Communicates effectively: listens attentively without interrupting; speaks and writes clearly; actively seeks feedback insuring information gets to all appropriate people
• High level of mathematical accuracy, attention to detail, and alertness to detect errors in records and statistics
• Knowledge of CPT and ICD-9 coding
• Interact positively and professionally with patients and other care team members

Physical Requirements:

• Must be able to move up to 20 pounds and push up to 50 pounds (on wheels).
• Must be able to hear staff on the phone and those who are served in-person, and speak clearly in order to communicate information to clients and staff.
• Must be able to have vision that is adequate to read memos, a computer screen, personnel forms and clinical and administrative documents.
• Must have high manual dexterity.
• Must be able to reach above the shoulder level to work, must be able to bend, squat and sit, stand, stoop, crouching, reaching, kneeling, and twisting/turning.

By signing this I acknowledge that I am physically and mentally capable to perform all the services required by this job description, with, or the professional staff bylaws of, the healthcare organization to which I am applying with or without reasonable accommodation, according to accepted standards of professional performance and without posing a direct threat to the safety of patients.

Received:

Employee Signature Date