Medical Billing Rep, FT

Full-time, Monday thru Friday

Minimum pay is $17.50/hour. The pay rate will be higher based on related experience.

JOB SUMMARY

Prepares, processes, follows up and collects all billings for all payer types for services provided by the Village/consistent with government regulations, contractual obligations, and village polices. Supportive of the Village's mission, values, and service/hospitality (PRIDE) expectations. Completes training as required by policy.

ESSENTIAL JOB FUNCTIONS

• Ensures accurate billings to all payors for services provided to residents. Submits claims to Medicare, Medicaid and commercial /third parties.
• Prevents collectable accounts from becoming uncollectible/delinquent. Reviews account balances, aging and other information to collect accounts in a timely basis.
• Maintains accurate documentation and follows all established policies to write off uncollectible accounts. Documents collection efforts.
• Maintains an accurate knowledge of applicable billing regulations and billing rules related to specific payors.
• Ensures resident inquires are handled in a professional and efficient manner to a satisfactory level.
• Maintains basic working knowledge of other roles/responsibilities in the department.
• Coordinates information flow necessary for billing with other departments throughout the Village.
• Follows HIPPA guidelines when accessing personal health information.
• Adheres to all safety regulations and requirements.
• Handles stress well and gets along with others within the workplace and with customers outside the department.
• Maintains acceptable standards of workplace conduct.

The responsibilities described above represent the primary responsibilities of the job. Other responsibilities may be assigned by the supervisor as warranted by business needs. The incumbent is expected to perform all assigned responsibilities.

ESSENTIAL QUALIFICATIONS

Education:

• High school education or general education degree (GED) required.

Knowledge and Skills (required unless otherwise noted):

• A minimum of three to five years of experience in medical billing to all payor types such as Medicare, Medicaid and commercial payors is required.
• Extensive knowledge of claim denial and appeals processes is required.
• Knowledge of applicable regulations related to specific payors such as MCR, MCS insurance, etc. is required.
• Intermediate keyboarding skills are required.
• Intermediate level knowledge of Microsoft Windows and Office Applications such as Word and Excel are required.
• Intermediate level of experience in navigation of Direct Data Entry software (DDE) is required.
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to write simple sentences, paragraphs, and correspondence.
• Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
• Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
• Ability to apply common sense understanding to carry out detailed but straight-forward written or oral instructions.
• Advanced customer service skills are required.

SPECIAL WORKING CONDITIONS

• Work is performed in an environmentally-controlled office setting with no exposure to hazardous conditions or materials.
• The associate is subject to an inside environment which provides protection from external weather conditions but not necessarily from temperature changes.
• Though work is performed in a typical office environment, the associate maybe required to function around individuals with challenged mental capacities.
• All associates may be called upon to assist other departments in a declared emergency situation.

Physical and Mental Demands

The physical demands described below are representative of those that must be met by an individual to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• The position requires exerting up to 10 lbs of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Work involves sitting most of the time. Additionally, walking, standing, stooping, kneeling, crouching, and/or squatting with occasional flexibility in changing positions are required.
• The associate is required to have close visual acuity to perform activities such as: preparing and analyzing data and figures, transcribing, viewing a computer terminal, and extensive reading. The associate should be able to communicate effectively through spoken and written word.
• May need to stoop/bend, kneel, crawl, reach. Frequent sitting.
• Walking: Moving about on foot to accomplish tasks, particularly for long distances or moving from one work site to another.
• Must be able to speak and hear.

SUPERVISION RECEIVED/GIVEN

Receives direction from Manager, Resident Accounts. No supervision given.

EOE/D/V

Nicotine-Free Workplace

Post-offer background check and drug screen required

Questions can be directed to careers@jkv.org