This job was posted by https://idahoworks.gov : For more information, please see: https://idahoworks.gov/jobs/2355348

Status: Non-Exempt / HOURLY Regular Full Time **Reports to: Clinic Administrator

Essential Duties and Responsibilities (This is not an exhaustive list of all duties/responsibilities. Other duties may be assigned)**

Verify that claims are submitted with zero errors

Prepare claims for mailing when necessary

Timely follow up on insurance claim denials, exceptions or

exclusions

Verify completeness and accuracy of coding prior to submission to

Athena

Monitor and post as needed, payments received from insurance,

Medicare, Medicaid, patients, etc. daily to ensure proper credit and accounting

Utilize monthly aging A/R reports to follow up on unpaid claims aged

over 30 days

Perform A/R audits

Maintain A/R filing system

Respond to inquiries from insurance companies, patients and

providers regarding coding and billing

Oversee the operations of the billing department

Read and interpret insurance Explanation of Benefits (EOB)

Keep track of P&P patients, create the monthly invoice to submit in

a timely manner

Check Quest Lab monthly invoice for patient payments, if payments

not received enter charges

Timely communication to the Officer Manager regarding trends with

payors/front desk and other issues that are potentially disruptive to cash flow

Review credit balances and act in a timely fashion

Verify patient statements have been sent out timely

Ensure aged patient balances, over 90 days, are reviewed and sent to

collections as needed

Follow up with collection agency as needed

Follow-up on any missing claims/billing

Collect provider/patient information for appeals

Run operational/financial and quarterly Medicare reports

Negotiate and monitor payer contracts

Oversee refunds and credit balances

Handle any payment arrangements

Assist with Provider credentialing

Work in collaboration with Accounting on pertinent issues affecting

revenue

Review records to ensure proper coding based on guidelines and

conventions

Ability to multi-task, manage time, meet deadlines and remain calm

and professional under pressure

Establish and maintain effective working relationships with staff,

patients, organizations, insurances

Remain current on trends/changes in the laws and regulations

governing medical record coding, and documentation

Maintain standards of confidentiality of CC Idaho clients and

records

Maintain strict confidentiality and compliance with HIPAA standards

and other grant requirements

Perform all work duties and activities in compliance with CC Idaho,

Joint Commission, OSHA and HIPAA regulations

Qualifications

Required

High School Diploma or GED

One-year experience in medical billing

Working knowledge of CPT and ICD10 codes and medical terminology

Current driver\'s license and proof of auto insurance

Must pass a background check

Ability to operate standard office equipment and be proficient in

Microsoft Office applications

Evidence of no communicable disease

Preferred

Certified Professional Coder (CPC) certification

Ability to read, speak, and write in both English/Spanish in a

business setting

Required Physical Demands

Is frequently required to stand; walk; climb or balance, sit, stoop,

kneel, crouch, or crawl; reach with hands and arms

Frequently communicate by talking/hearing

Must be able to lift and/or move up to 20 pounds

BENEFITS

CCI is a strong, non-profit agency to work with. They respect work-life balance and allow for flexibility when it is needed. Excellent premiums on benefits packages. Good working environment with opportunities for advancement.\"

https://communitycouncilofidaho.org/apply-today/*

Health Benefits**

Medical benefits

Dental benefits

Vision benefits

Financial Well-Being

Basic Life Insurance with Accidental death & dismemberment

Supplemental Voluntary Life

Long- and Short-Term Disability

Flexible Spending Ac

Community Council of Idaho

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