Operations Specialist

Summary: The Operations Specialist will work under the supervision of the COO. Conducts analysis of Accounts Receivables daily, weekly and monthly basis or as frequently as needed to account for all collectable revenue. Individual will work closely with the Finance and Clinical Department to ensure that billing and coding functions are timely and being performed accurately and in compliance with established policies and procedures.

Reports to: COO

Supervises: N/A

Dress Requirement: Business casual

Work Schedule

Monday through Friday during standard business hours

Times are subject to change due to business necessity

Non-Exempt

Job Duties, these are considered essential to the successful performance of this position:

• Understands the entire medical billing process, insurance rules and regulations, and can enforce/abide by policies and procedures.
• Provides day-to-day oversight and management of billing and coding timeliness and queue workloads.
• Review analysis bad debt and sliding fee reports monthly.
• Effectively communicates with finance department and clinical department staff to resolve questions.
• Reviews and approve Statement process
• Enforces Heart of Ohio Family Health’s policies and procedures relevant to billing, coding.
• Review Open Encounter reports to ensure all encounters are captured.
• Coordinate new provides billing training.
• Work as a liaison between Heart of Ohio Family Health Staff and 3rd Party billing company.
• Assists with special billing/coding projects as assigned.
• Complies with all legal requirements and Heart of Ohio Family Health Centers policies.
• This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
  
  

Job Qualifications (Experience, Knowledge, Skills And Abilities)

• Associate degree preferred in the human services or related field, experienced maybe acceptable
• Willingness to work with all cultural and socioeconomic groups without judgment or bias
• Compliance with the HIPAA law and regulation; ability to confidentially retain information, passing only necessary information to those needed to perform their duty
• Ability to work with minimal supervision and exercise sound independent judgment
• Knowledge of MS office applications
• Federally Qualified Health Center experience preferred
• Prefer experience in a physician’s office, clinic, hospital business office, billing office or related area dealing with the public in collection of data and funds
• Understanding of laws and regulations impacting the registration procedure
• Ability to accurately enter data, preferably typing at a minimum of 45 wpm
• Has the ability to diffuse and handle difficult situations by using good judgment, control of emotion and diplomacy
• Demonstrates grammatically-correct verbal and written communication skills
• Demonstrates efficient and courteous telephone skills
• Demonstrates resilience, a positive attitude and the ability to work well in a fast paced, rapidly changing environment
• Detail-oriented -- would rather focus on the details of work than the bigger picture
• Achievement-oriented -- enjoys taking on challenges, even if they might fail
• Ability to work in a team setting and/or with minimal supervision
  
  

Facility Environment

Heart of Ohio Family Health operates in multiple locations, in Columbus, OH area. All facilities have a medical office environment with front-desk reception area, separate patient examination rooms, nursing stations, pharmacy stock room, business offices, hallways and private toilet facilities. All facilities are ADA compliant.

This position’s primary work area is in an office setting shared by other co-workers with similar tasks and functions.

The Work Area Is

• kept at a normal working temperature and sanitized daily
• maintains standard office environment furniture with adjustable chairs
• maintains standard office equipment; i.e., computer, copier, fax machine, etc. at a normal working height