What are the responsibilities and job description for the Biller/Coder- Greenfield position at Covenant Community Care?
Are you looking for an opportunity to work in a caring and community focused environment? At Covenant Community Care, we are a faith based non-profit, Federally Qualified Health Center serving the communities of Detroit in our clinics that offer integrated medical, dental and counseling healthcare services. We have an immediate opening for a Full-time Biller.
Job Description:
Our team members perform various day-to-day patient account functions for our Medical, Counseling, and Specialty programs. Under supervision of Billing Manager, the Biller performs patient and third-party billing, remittance advice and payment processing, problem resolution, statement processing, old balance review, and account inquiry.
Responsibilities:
- Patient and third-party billing, problem resolution, review of patients’ records to determine proper CPT/ICD-10 coding, interacting with physicians to ensure coding accuracy, and account inquiries.
- Reviews encounters to ensure accuracy and completeness prior to claims submission, taking the necessary action to correct charge entry errors by contacting the provider of services, front desk staff, or reviewing charts for proper codes.
- Corrects and rebills clearinghouse-initiated rejections.
- Posts third party payments and denials.
- Appeals and rebills third party denials.
- Follows-up on outstanding A/R.
- Frequently works various queues within medical practice management software to correct registration, charge entry, and ledger errors.
- Matches patient payments for prepaid services to appropriate charges in practice management software.
- Processes and mails monthly patient statements.
- Assists patients with resolution of account balance discrepancies.
- Using a retrospective eligibility report, identifies and rebills accounts found with active coverage.
Administrative / Accounts Receivable
- Reconciles the self-pay payments between the bank statements and practice management software.
Inter-Departmental Coordination
- Provides feedback to front staff and/or clinic managers regarding registration error trends.
- Participates in training the clinical and administrative staff on billing functions, such as insurance eligibility verification and patient payment posting.
Required Qualifications:
To perform this job successfully, an individual must be able to perform each of the above responsibilities satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or work style required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- High school diploma or equivalent
- One year of medical coding experience is mandatory
- CPC, CCA, CCS, RHIT certification is required
- Understanding of Michigan Medicaid, Medicaid Managed Care, and Commercial insurance programs is essential
- Experience in the use and review of electronic health records is a requirement.
- Familiarity with Michigan Medicaid Managed Care, Medicare, and commercial insurance programs is essential
Preferred Qualification:
- Experience with Athena (EHR) is ideal, not mandatory
- Related coursework in accounting, billing, and coding, and/or medical terminology is highly desired.
- Familiarity with Facility UB-04 billing is a plus
Position Criteria:
- Teamwork- Must be able to work independently and collaboratively within a team environmentProblem Sensitivity
- - The ability to tell when something is wrong or is likely to go wrong and identify optimal solutions. Excellent problem solving skills Active Listening
- - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times. Service Orientation
- - Actively looking for ways to help people. Speaking
- - Talking to others to convey information effectively. Able to communicate and interact with co-workers. Time Management
- - Managing one's own time and the time of others. Ability to multi-task and meet deadlines
- Required Language: English; Spanish fluency a plus
Job Type: Full-time 32-40 hours/week
At Covenant we offer our employees:
- Comprehensive Benefit program
- Vacation, Sick, and Personal time (VSP)
- Paid holidays
- 401K
- Life insurance, long term and short term disability
Candidates must successfully complete an office skills assessment, a criminal background check, and TB test as part of the hiring process.
