What are the responsibilities and job description for the Medical Billing Specialist position at Jasper Memorial Hospital?
ACCOUNTABLE FOR: Processes all patient bills after discharge in an orderly and organized manner in accordance with all State and Federal laws.
GENERAL PURPOSE AND ESSENTIAL FUNCTIONS:
The Billing Specialist operates under the direction of the Patient Financial Services Manager. Responsible for billing primary and secondary insurance claims to third party payers and/or intermediaries and answering inquiries on a timely basis accordingly. Performs insurance follow-up with payers in a timely manner to prevent timely denials and ensure that payments are received appropriately. Related functions include participation in quality assurance activities through hospital committees and community efforts. Participates in a positive manner in activities that promote a better understanding of Patient Billing, both within the hospital and with the public.
1. Administrative Duties: Assists Patient Financial Services Manager and Administrative Staff with duties and projects as assigned and represents the Administration department in a positive manner.
2. Confidentiality: Maintains confidentiality of all records and issues in Administrative office.
3. Clerical: Receives visitors, answers phone, and makes appointments in a courteous manner.
REQUIREMENTS:
Education/Training/Experience: High school diploma or GED equivalent required. 2 years of successful experience in related field preferred.
Interpersonal Skills: Relates cooperatively and constructively with all patients, guests, families, physicians, peers, and all healthcare members as well as anyone that JHS’ employees interact with while performing their daily duties.
Essential Physical Requirements: Moderate to high amount of walking, standing, sitting, reaching, pulling, pushing, stooping, and kneeling. Minimal lifting requirements of twenty (20) to thirty (30) pounds.
Verbal and/or Written Communication Skills: Must be able to read, write and speak the English language.
Essential Mental Requirements: Knowledgeable and competent to perform essential functions. Must be able to deal with a variety of personalities with whom the employer comes into contact with, both pleasant and irate. Must demonstrate excellent judgment in resolving operations, and patient care issues within the department.
Essential Technical/Motor Skills: Moderate eye-hand coordination. Keyboarding skills preferred.
Essential Sensory Requirements: Ability to visually and audibly perform all essential functions.
Exposure to Hazards: Minimal exposure to infectious diseases, blood, and body fluids.
Other: Assume responsibility for professional growth and expertise, as well as continuing education.
Standards of Performance:
- Must meet minimum requirements of the performance standards outlined in the criteria based evaluation form. Competency package includes evaluation, resume, and job description.
- Must meet minimum physical requirements as outlined in this job description.
- Must meet educational and experience requirements as outlined in this job description.
