What are the responsibilities and job description for the Billing Professional position at Heartland Community Health Center?
Welcoming all who need care
Job title
Billing Professional
Reports to
Revenue Cycle Manager
Status
Non-Exempt (Hourly)
Job purpose
The Billing Professional assists in the management of the Revenue Cycle process for their assigned payer type, provider, or location while adhering to processes and maintaining productivity and accuracy standards. This includes accurate and timely claim creation, follow-up and correspondence with providers, insurance payers and patients. Maintains data quality and integrity. Carries out all duties while maintaining compliance and confidentiality, promoting the mission and philosophy of the organization, and fostering a professional, positive work environment.
Duties and responsibilities
- Prepares and submits clean claims to third party payers either electronically or occasionally by paper (requested by the payer).
- Assists in identifying and resolving claim related issues.
- Denial and insurance follow-up management
- Issues adjusted, corrected and/or rebilled claims to third party payers.
- Posts adjustments transfer of responsibility and refunds accurately.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Assists with patient queries/questions.
- Communicates any issues/delays within the Revenue Cycle to the supervisor.
- Other duties as assigned.
- Stay up to date on current coding requirements.
- Work to set and achieve monthly S.M.A.R.T goals. (Specific, measurable, achievable, relevant, and time bound).
- Ensure productivity standards are met.
Qualifications
- Previous billing experience preferred. FQHC experience a plus
- certified coder through AHIMA (CCS-P) or AAPC (CPC) a plus
- Exhibits basic billing skills.
- Work is completed with moderate oversite and direction.
- Works under clearly defined procedures
- Has developed knowledge and skills through formal training or years of experience.
- Identifies a problem and all relevant issues, assesses each using standard procedures and critical thinking skills, and makes sound decisions.
- Displays a sense of urgency when completing daily job functions.
- Strong interest in working with an interdisciplinary health team and culturally diverse patient populations
- Agrees to uphold Heartland’s guiding values of Compassion, Respect, Collaboration, and Integrity
- Demonstrate high level of confidentiality
Working conditions
- Sits for long periods of time throughout the day
- Subject to many interruptions
- Requires work with others in a group or team
- Must be able to function in a high stress environment
- Requires work with external customers or the public
- Requires dealing with unpleasant, angry, or discourteous people and other conflict situations
- Requires working indoors in environmentally controlled conditions
Physical requirements
- Requires repetitive physical activities or mental activities
- Requires walking
- Requires using hands to handle, control, or feel objects, tools, or controls
- Requires bending or twisting
- Requires standing
Details
- Schedule: Full-time non-exempt averaging 40 hours per week
- Hours M – F from 8:00 AM – 5:00 PM as needed
- Schedule may be altered by supervisor(s) as needed to allow for completion of expected duties of the position.
