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Applications will be accepted until position has been filled.
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THE POSITION:
Performs complex medical billing (AP/AR) responsibilities for Public and
Behavioral Health, which require considerable judgment in the
application and interpretation of contracts, federal, state, and
departmental requirements. Essential functions: Manage client
accounts including setting client fees, payors and payor rules,
eligibility, payment plans and answering inquires regarding client
accounts. Accurately compute, prepare, and mail third party and client
billings; verify client OHP/FFS eligibility; research outstanding
unbilled services and potential billing issues; recommend changes to
reduce future denials. Receive and record payments and payor EOB
information into automated system; follow up on rejected claims; prepare
revenue turnover report; process refunds. Analyze, validate and track
authorizations and claims received from outside providers; determine
funding eligibility and payment status; prepare EOB; process request for
payment. Key team member in implementing a new automated EMR/billing
system. Prepare and analyze fiscal, financial, and statistical reports
to verify the accuracy of account information and provide information to
management. Document billing processes; recommend potential
improvements. Requires regular and consistent attendance.
STARTING SALARY:
$12.25 per hour plus excellent full-family benefit package, OPSRP
retirement and availability of deferred compensation retirement savings.
MINIMUM QUALIFICATIONS:
Associate’s Degree in accounting and two years work related experience
OR four years accounting experience OR a satisfactory equivalent
combination of experience and training.
Desirable
Qualifications: Medical
billing experience with considerable knowledge of automated accounting
systems as it relates to medical billing, CPT/ICD9/HCPCS/DSMIV codes,
billing formats and accounts receivable/payable processes; considerable
knowledge of HIPPA requirements. Proficient in the use of MS Office
Suite and able to problem solve in a complex computerized environment.
In addition to the above requirements,
applications will receive further evaluation based on considerable
knowledge of accounting principles, practices, and techniques;
considerable knowledge of automated accounting systems; reasonable
knowledge of modern office practices and procedures. Skill in
use of modern office equipment that includes automated equipment and
systems. Ability to communicate effectively in both oral and
written forms; lead the work of other employees; provide training to
employees relating to accounting systems and procedures; prepare
detailed fiscal, financial and statistical records and reports; work
independently or within team unit; efficiently organize time to meet
deadlines; use judgment and maintain confidentiality in dealing with
consumers, employees, payors, providers and the public.
BACKGROUND INVESTIGATION/RECORD CHECK
AUTHORIZATION:
Because this position is responsible for
cash handling, the finalist will be subject to a background check
including, but not limited to, credit, criminal (LEDS), judgments, etc.
DRIVING RECORD:
Applicants selected for interview will be required to bring to the
interview a Court Print driving history obtained from the DMV. Please
allow 5-7 days for delivery; longer for out of state.
PHYSICAL EXAMINATION:
Offer of employment is contingent upon successful completion of a
pre-employment chemical detection screen conducted at County’s expense.
PHYSICAL DEMANDS AND WORK
ENVIRONMENT:
Work is performed in an office environment and is generally sedentary;
however position may require bending, hearing voice conversations, color
identification, keyboarding, kneeling, lifting up to 15 pounds, pulling,
pushing, reaching, sitting, standing and walking.
For further information contact Jeremiah Elliott at jselliot@co.douglas.or.us
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