Union AFSCME 496.00 Full-Time/Part-Time Full-Time Open Date 11/4/2024 Closed Date CONTINUOUS UNTIL FILLED Location Health Department DescriptionStarting Pay: $18.1459 Hourly ($37,743) After 1st Year: $19.2510 Hourly ($40,042) After 2nd Year: $22.2790 Hourly ($46,340) After 3rd Year: $22.8195 Hourly ($47,465) After 4th Year: $23.3828 Hourly ($48,636) After 5th Year: $23.9723 Hourly ($49,862) After 6th Year: $24.5841 Hourly ($51,135) After 7th Year: $25.2496 Hourly ($52,519) MINIMUM QUALIFICATIONS: Associate degree/certification in medical curriculum -AND- two (2) years' recent billing experience; -OR- High school diploma or equivalent -AND- RHIT or CCS-P or CPC certification -AND- three (3) years' recent experience in outpatient, Medicare and Medicaid, computerized and manual physician billing for third party payers; -OR- High school diploma or equivalent -AND- five (5) years' recent experience in outpatient, Medicare and Medicaid, computerized and manual physician billing for third party payers. ADDITIONAL REQUIREMENTS: Must submit a copy of college transcripts and/or certification with application. PHYSICAL REQUIREMENTS: Must be able to perform Essential Job Duties and Functions with or without reasonable accommodations. JOB SUMMARY: Performs professional tasks in Medicare, Medicaid and Private Insurance billing/coding process; responsibilities include charge entry, payment posting, accounts receivable and assisting with insurance appeals; must demonstrate ability to perform clerical tasks including properly formatted written communications with clients and venders; performs related work as required. ESSENTIAL JOB DUTIES AND FUNCTIONS:
- Analyze account detail (charges, payments and adjustments) and answer detailed questions from payers and third party payers regarding claims or account status.
- Assist Supervisor and Senior Billing Clerk to identify and provide solutions for denials to obtain proper reimbursement or services.
- Process claims for insurance billing reimbursements.
- Assist medical providers and employees with direction on the usage of a specific diagnosis code, CPT code and modifier or documentation requirements.
- Assist Supervisor and Senior Billing Clerk with department compliance with governmental and other third-party payer rules and regulations governing coding and billing.
- Assist in implementing Genesee County Health Department program requirements to ensure correct and appropriate coding and billing.
- Assist with the creation of manuals and procedure documents for other clerical staff to follow as it relates to billing procedures that have been approved by the Medical Health Officer.
- Assist Genesee County Health Department employees with the correct procedure process manual for insurance verification based on provider and/or service being offered.
- Maintain accounts payable and accounts receivable log.
- Performs other related duties as directed.
ESSENTIAL KNOWLEDGE, SKILLS AND ABILITIES:
- Comprehensive knowledge of the billing process, coding and ICD10;
- Excellent PC skills.
- Working knowledge and experience with electronic billing and claims submissions.
- Experience with professional medical health billing in an office setting preferred.
- Ability to troubleshoot issues with payers.
- Knowledge of medical terminology and medical procedures as related to physician and clinical support billing codes.
- Ability to conform to departmental performance standards.
- Ability to establish and maintain effective working relationships with superiors, co-workers, subordinates, consumers and the public.
- Ability to multi-task.
- Ability to work independently, collaboratively and respectfully in a complex, multicultural work environment that values diversity, equity and inclusion.
- Ability to attend work regularly and to work under stressful conditions.
- Experience with EPIC preferred.
- Excellent written and verbal communication skills.
- Knowledge of HIPAA laws.
- Ability to maintain patient confidentiality and adhere to HIPAA guidelines and regulations.
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