Vacancy caducado!
I. JOB SUMMARYAssumes responsibility for billing and claims management for the Walker
County Indigent Care Program. Works with clients to ensure applications
are full and complete and in compliance with all federal, state, and
local mandates. Reviews, and adjudicates claims for services.
Coordinates follow up with Providers, Clinic, and Hospital staff as
needed. Serves as a liaison between Walker County Indigent Care program
and Hospital, Clinic, Physician Org, and Other Providers. Works in the
capacity as the first point of contact for customer calls and inquiries
regarding program qualification, billing, and reimbursement.II. QUALIFICATIONSA. Education:
High School Diploma or GED equivalent required
Billing/Coding Certification preferred
B. Experience:
1-2 years Hospital Charity and/or Indigent Healthcare Program
Experience
Prior Experience with Hospital and/or Clinic Financial Counseling
Prior Experience Processing State of Texas Medicaid Applications a
Plus
C. Required Skills:
Working knowledge of State and Federal Poverty Guidelines
Working knowledge of State and County Indigent Program Provisions
and Limitations
Working knowledge of State of Texas Medicaid Qualification
Requirements
Working knowledge of CPT Codes
Working knowledge of UB04 and 1500 Claims Processing
Must demonstrate oral and written communication skills, including
proper use of grammar, spelling and punctuation.
Use of computer to include Outlook, Microsoft Office, Electronic
Health Systems and other data entry programs.
Ability to work with people in a tactful, diplomatic manner while
ensuring the confidentiality of information.
Ability to use all general office machinery.
Ability to maintain an organized reporting system.
Self-motivated: Able to work productively, effectively, and
independently
Strong organizational skills, work ethic and high attention to
detail
Team player mindset
Must have predictable and consistent attendance
High degree of attention to detail and trustworthiness
D. Communication Skills
Must have excellent communications skills in order to interact with
clients of all cultures, and financial backgrounds via telephone and
in person.
Able to read, write and speak English
Excellent customer service and telephone etiquette skills. Ability
to work effectively with all levels of management and other
colleagues, demonstrating initiative, mature judgment and customer
service orientation. Must possess a high degree of professionalism
and adaptability.
E. Essential Job FunctionsAssist Providers in the Completion of Provider Contracts; working with
management as needed to negotiate rates.Assist Non-Contracted Providers with single case rate agreements;
working with management to approve rates.Assist clients with the application process.Assist with gathering and inputting data into the HIS database.Make appointments for clients.Coordinate client transportation and Issue vouchers as needed.Perform Follow Up as Needed with UTMB Community Health Care office.Processes Provider Invoices.Resolves Invoice Discrepancies.Filing documents and maintaining files as required by policy.Fax documents and reports as needed.Assist in gathering information for preparation of reports and
statements.Transcribes correspondence and other documents from long-hand copy.Answers phones and takes messages.Order and maintain office supplies.Maintains various departmental logs.Implements and follows system downtime and recovery procedures when
necessary.Reports system issues promptly to a member of the management team.Supportive of the compliance program established by Huntsville Memorial
Hospital and demonstrated by:
Upholding Standards of Conduct
Adhering to and helping to enforce all compliance policies relevant
to his/her area.
Participates in mandatory education.Other duties as assigned.
Vacancy caducado!