What are the responsibilities and job description for the Billing Specialist position at The Community Action Committee of Pike County?
Responsible for ensuring Valley View Health Center (VVHC) claims are submitted, processed, posted, and closed in a timely manner. Responsible for ensuring all billing aspects on behalf of the Valley View Health Centers.
Functional Area: Estimated Effort: 98%
Responsibilities, Deliverables, Outcomes and Expectations:
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Provide excellent customer service, including but not limited to helping patients understand their billing and charges for which they are responsible, setting up payment arrangements, etc.
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Work directly with insurance companies, providers, and patients to get claims processed and paid
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Responsible for submitting claims electronically through current practice management/clearinghouse. Any claims needing corrections should be completed by the end of the following business day and resubmitted
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Ensure all claims are submitted in an accurate and timely manner
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Responsible for following up on claim denials and resubmitting billing as needed
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Responsible for keeping accurate accounts receivables – accurately logging of payments received from insurance companies and patients while maintaining current records and balances. Monitoring claims, ensuring claims that reach 30 days or older are prioritized and followed up on, verifying eligibility and/or re-billing insurance companies
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Responsible for reconciling remittance advices and scanning EOBs
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Responsible for employee deductions on a bi-weekly basis
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Assist in preparing documentation for refunds to patients or insurance companies
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Responsible for processing patient statements and mailing accordingly
Functional Area: Collaboration and Support – Estimated Effort: 2%
Responsibilities, Deliverables, Outcomes and Expectations:
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Attend meetings, conferences, and training sessions related to the duties of this position and disseminate acquired information to appropriate individuals inside and outside of the agency
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Serve as a representative of the fiscal department on assigned CAC committees
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Assist in performing tasks necessary to achieve the organization's mission. Any other duties needed to help drive our vision, fulfill our mission, and abide by the organization's values
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Serve as a backup for Medical/Dental Patient Access Representatives when needed
