Job Title: Billing Coordinator

Department: Health

Division: Nursing

Civil Service Status: N/A

Employment Status: Full Time

FLSA Status: Non-Exempt

Reports To: Director of Nursing

Position Summary:

Under direction of the Director of Nursing, is responsible for carrying out billing and accounts receivable activities in an efficient and timely manner for all Nursing Division and Public Health programs offered through the Portsmouth City Health Department, maintains provider contracts for Medicaid, Medicare and other third party managed care organizations. Assists patients with enrollment into an Affordable Care Act managed care program. Carries out job duties in a manner that supports the Portsmouth City Health Department’s mission, purpose and goals.

Essential Duties:

(100%) Processing insurance claims and patient billing. Reviews all patient billing records to assure that required diagnosis and billing codes are utilized and reflect services provided; and all appropriate charges are included on each patient’s bill. Establishes and maintains a billing schedule and current contact information for all payer sources. Works directly with the Clinic Receptionist/Billing Assistant to prepare patient bills. Prepares daily deposit and enters spread sheets for reconciliation. Reconciles receiving warrants with daily deposit logs. Works closely with the Director of Nursing to gather required information and to identify needed managed care contracts.

Identifies and resolves billing problems. Performs various collection actions, including telephone contact, correcting and resubmitting claims to third party payers. Reviews online systems for claim acceptance and denials and ensures claims are corrected and resubmitted in a timely manner. Verifies, allocates, and posts details of business transactions to subsidiary accounts in journals or computer files from a variety of documents.

Other Duties & Responsibilities:

Maintains knowledge of reimbursement system, allowable services and documentation required, to ensure that billing processes are accurate, including Medicaid, Medicare, and third-party billing. Implements systems in compliance with all state and federal laws/regulations related to billing and finance operations. Serves as back up for the Receptionist. Must be willing to acquire Certified Application Counselor (CAC) certification to assist individuals in insurance enrollment. This list is not all inclusive.

Minimum Qualifications:

Bachelor’s degree in accounting, or related field. Three (3) years of experience in medical billing, must have ability to read, analyze and interpret medical billing instructions, health care contracts, financial reports, legal documents, government regulations, add, subtract, multiply, and divide all units of measure using whole numbers, common fractions and decimals. Computer proficiency in Windows and Excel, the ability to learn software programs, excellent customer service skills required. The ability to drive our mobile unit a plus.

Organizational Competencies:

All Portsmouth City Health Department (PCHD) employees are expected to ensure that the Portsmouth community is protected from disease and other public health threats and to empower others to live healthier, safer lives. In addition, all PCHD employees are expected to meet specified competencies in the following areas:

Excellence: Strive to implement evidence-based best practices and perform monitoring to continually improve our program outcomes.

Customer Service: Treat our many, diverse customers with thoughtful listening and respect.

Trustworthiness: Value and promote honesty, openness, and sincerity in our interactions with one another, our community peers, and the public we serve.

Leadership: Strive to be recognized in our community and throughout the region for our effective approach to public health.

Accountability: Act with integrity and transparency in management of public funds and in carrying out public health programs.

Team Work:Develop and nurture key partnerships internally and in the community, to accomplish our mission and vision.

Communications: Recognize that excellent communication is a critical component to reaching our goals and accomplishing our mission.

Learning: Committed to contributing to the Learning culture by being proactive in self development.

Manager / Supervisor Competencies: N/A

Job Specific Competencies based on the Core Competencies for Public Health Professionals:

1. Analytical / Assessment Skills: (1A1, 1A4, 1A5,1A8, 1A10, 1A11)

2. Policy Development / Program Planning Skills: (2A1, 2A4, 2A5).

3. Communication Skills: (3A1, 3A2, 3A3, 3A4, 3A5, 3A6).

4. Cultural Competency Skills: (4A1, 4A2, 4A3, 4A4, 4A6).

5. Community Dimensions of Practice Skills: (5A1, 5B3, 5A4, 5A5, 5A6, 5A7, 5A8, 5A9, 5A10).

6. Public Health sciences Skills: (6A1, 6A2, 6A4, 6A6, 6A8).

7. Financial Planning and Management Skills: (7A3, 7A5, 7A12, 7A13).

8. Leadership and Systems Thinking Skills: (8A1, 8A2, 8A5, 8A6, 8A7).

Employee is presented with the list of competencies from the Council on Linkages between academia and Public Health.

Professional Competencies: N/A

Work Environment:

General office setting. Must be able to assume a wide range of responsibilities, to work with staff and general public that vary in their work styles and personalities. To work under pressure. Willingness to work irregular/extra hours, evenings, weekends. Provide timely response to requests and deadlines. Receive, process, and provide visual, verbal and written information.

Safety:

PCHD promotes a safe work environment. Employees must follow all safety policies and procedures to ensure an accident-free workplace.

Job Performance Evaluation:

The employee will be evaluated at least annually, but more often if performance warrants it.

This position description in no manner states or implies that these are the only duties or responsibilities to be performed by the position incumbent.

Job Type: Full-time

Pay: $17.76 - $20.80 per hour

Schedule:

• Monday to Friday

Work Location: In person