What are the responsibilities and job description for the SENIOR MEDICAL BILLER, Full Time 1.0 position at Mid-Valley Hospital & Clinic?
Job Type
Full-time
Description
This job description defines the tasks and the responsibilities normally expected of the Patient Account Representative / Biller. The primary functions are but not limited to the outlined below. Additional projects, assignments and duties may be given as necessary by the Director of Revenue Cycle.
Responsible for billing all accounts to designated insurance companies. Completing all documentation concerning insurance billing and payments. Review documents on medical procedures performed for accuracy and completeness. Understand referrals, notifications and pre-authorizations for procedures performed. Transmit claims using software programs, follow up on unpaid claims, work submission indexes. Knowledge of insurance providers including Medicare and Medicaid as well as covered practices and procedures. Act as a mentor for all other billers with a thorough understanding of process and procedure.
The ability troubleshoot and problem solve in order to keep patient AR inline with best practices.
This position answers directly to the Director of Revenue Cycle indirectly to the CFO. The policies of Mid-Valley Hospital apply to all written or vocalized actions of this office.
SPECIFICATIONS
Clear understanding of all collections of patient accounts during and after all insurance companies have remitted.
Works with ATB report in a timely fashion with full understanding to read and comprehend the report.
Biller is responsible for working the assigned ques that are assigned daily, weekly, and monthly.
In a courteous and professional manner makes calls or other contacts on delinquent accounts.
In a polite and helpful manner answers questions from patients about their bills and does necessary research on problem accounts.
Perform other duties as assigned by the Director of Revenue Cycle.
Requirements
GENERAL RESPONSIBILITIES
1. Reports for scheduled shift on time and prepared to assume responsibilities.
- Reports to work in proper uniform / attire.
- Leaves for meal break on time and returns on time.
- Varies work schedule to meet the needs of the department.
- Ensures the department manager has approved all scheduled overtime.
- Seek supervisor approval before working beyond scheduled hours that will result in overtime.
- Schedules all time off with supervisor's approval.
- Strictly adheres to hospital attendance / tardiness policies 100% of the time.
- Performs all duties as assigned.
- Wears I.D. badge in a visible location at all times on hospital property.
- Protects I.D. and access badge and reports any issues or loss immediately to supervisor or to the Human Resource Department.
2. Attends and participates in meetings and is responsible for information communicated at meetings and in email.
3. Responds to all training / recertification notices timely and completes required training and / or recertification prior to deadline or expiration.
4. Exercise a commitment to practicing behaviors that are in agreement with the spirit of cooperation and reflect the values described in the Code of Mutual Respect and Professionalism.
5. Assists all patients, family members, physicians, visitors, and employees in a professional and courteous manner.
6. Follows Infection Control procedures at all times.
7. Adheres to the following environmental care standards.
8. Be familiar with and comply with the Mid-Valley Hospital & Clinic Personnel Handbook and Policies.
9. Be familiar with the collective bargaining agreement (Union Contract) of the UFCW3000 and Mid-Valley Hospital.
10. Demonstrates the ability to adapt to varied age-specific patient populations.
POSITION QUALIFICATIONS
EDUCATION :
High School graduate / GED
Relevant prior experience in CAH hospital and RHC clinic required with a minimum of 10 years.
General knowledge of collection policies
EXPERIENCE :
Medical background with working knowledge of, insurance claim processing, UB-04 or newer, HCFA 1500's, and Business Office policies and procedures.
Prior experience with credit and collection policies and procedures.
Ability to work on multiple projects during any given day and prioritize new projects as they may arise.
Is discreet in matters pertaining to patient accounts.
Must use good communication skills when working with the public or coworkers.
Experience with computers required. Preferred Cerner and SSI. Knowledge of payment platforms and billing systems such as One-Health-Port and Availity.
Work independently with little supervision.
Assists whenever necessary with insurance billing and follow-up.
Willing to perform accurately repetitive tasks with close attention to detail.
WAGE AND COMPENSATION
Wage range $21.06 hr. - $31.29 - DOE
Mid-Valley Hospital offers a benefit package. This includes accrued vacation time in the amount of .076923 vacation hours per hour worked. Accrued sick leave at an accrual of .04615 per hour, Life insurance and a profit-sharing plan. We also offer medical, dental and vision insurance plans. Employees can enroll in a 403(b) deferred compensation plan and / or a 457 deferred compensation plan.
Salary : $21 - $31
