06460 Maria Parham Biller/Coder Level II - 12.28.2020Job Summary
Provide administrative support, performs clerical and customer service functions, as well as non-technical duties in the clinic.
Use knowledge of CPT and ICD 10 codes to accurately code and bill for office visits, out patient procedures, in patient visits, and in patient procedures.
Reports to: Dir Physician Practice
FLSA: Non-exempt
Grade: G13
EEO: □ 01 Officials and Managers □ 02 Professionals □ 03 Technicians □ 04 Sales Workers X 05 Administrative Support Workers □ 06 Craft Workers □ 07 Operatives □ 08 Laborers and Helpers □ 09 Service WorkerJob Requirements
Minimum Education
High school diploma or equivalent required
Bachelor's degree preferred
Licenses: AAPC or AHIMA certification preferred
Two years of college preferred
Required Skills
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Detailed oriented
Requires knowledge of medical billing and collection practices and procedures for commercial insurance companies, Medicare and Medicaid.
Experience with billing process; claims - electronic and paper, authorizations, payment posting, CPT coding, benefit verification, EOB's and ERA's.
Self-motivated and able to prioritize tasks.
Good communication skills with patients and insurance companies.
Working knowledge of medical terminology.Essential FunctionsPrepares statistical reports and performs clerical functions such as preparing and sending outgoing mail, distributing incoming mail, maintaining filing systems, entering data and maintaining databases, typing documents and correspondence, photocopying, scanning, and faxing.Handles information requests, including reviewing files and records, answering inquiries, and responding to incoming work requests.Process insurance claims for private and employer insurance reimbursementProcess insurance claims for Medicare and Medicaid insurance reimbursement.Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses.Process and follow up on payer denials, consulting with the patient and /or insurance provider as needed.Discuss outstanding payment amounts with patients regarding balance owed by reviewing explanation of benefits.
Identify and report payor trends and issues to effect timely resolution.Follow up with the provider on any documentation that is insufficient or unclear.Functional DemandsPopulations ServedX Does not treat or care for patients.□ Neonate (<30 days)□ Infant (<1 year)□ Early Childhood (1 year and <5 years)□ Late Childhood (5 years and <13 years)□ Adolescent (13 and <17 years)□ Young Adult (17 to <30 years)□ Middle Adult (30 years to <60 years)□ Older Adult (>60 years)Protected Health InformationType of Protected Information Accessed:□ Demographic□ Clinical□ Insurance□ Financial□ Complete Medical RecordBloodborne Pathogens ExposureWhile performing this job, occupational exposure is present for all employeesPhysical Requirements - Physical Dexterity and Effort: Rarely <1%, Occasionally 1-33%, Frequently 34-66%, Constantly 67-100%Bending/Stooping □ rarely, □ occasionally, X frequently, □ constantlyClimbing □ rarely, X occasionally, □ frequently, □ constantlyKeyboard Data Entry □ rarely, □ occasionally, □ frequently, X constantlyKneeling X rarely, □ occasionally, □ frequently, □ constantlyLifting/Moving Patients X rarely, □ occasionally, □ frequently, □ constantlyReaching □ rarely, X occasionally, □ frequently, □ constantlyRepetitive Foot/Leg Movements X rarely, □ occasionally, □ frequently, □ constantlyRepetitive Hand/Arm Movements □ rarely, □ occasionally, □ frequently, X constantlyRunning X rarely, □ occasionally, □ frequently, □ constantlySitting □ rarely, □ occasionally, □ frequently, X constantlySquatting X rarely, □ occasionally, □ frequently, □ constantlyStanding X rarely, □ occasionally, □ frequently, □ constantlyWalking X rarely, □ occasionally, □ frequently, □ constantlyPushing / Pulling: 0-25 lbs. X rarely, □ occasionally, □ frequently, □ constantlyPushing / Pulling: 26-75 lbs. X rarely, □ occasionally, □ frequently, □ constantlyPushing/Pulling: over 75 lbs. X rarely, □ occasionally, □ frequently, □ constantlyLifting/Carrying (non-patient) : 0-25 lbs. X rarely, □ occasionally, □ frequently, □ constantlyLifting/Carrying (non-patient) : 26-75 lbs. X rarely, □ occasionally, □ frequently, □ constantlyLifting/Carrying (non-patient) : over 75 lbs. X rarely, □ occasionally, □ frequently, □ constantlyVisual Acuity, Hearing and Speaking: Rarely <1%, Occasionally 1-33%, Frequently 34-66%, Constantly 67-100%Audible Speech □ rarely, □ occasionally, □ frequently, X constantlyHearing Acuity □ rarely, □ occasionally, □ frequently, X constantlySmelling Acuity X rarely, □ occasionally, □ frequently, □ constantlyTaste Discrimination X rarely, □ occasionally, □ frequently, □ constantlyVision: Depth Perception □ rarely, □ occasionally, □ frequently, X constantlyVision: Distinguish Color X rarely, □ occasionally, □ frequently, □ constantlyVision: Seeing Far □ rarely, □ occasionally, □ frequently, X constantlyVision: Seeing Near □ rarely, □ occasionally, □ frequently, X constantlyBiological: Rarely <1%, Occasionally 1-33%, Frequently 34-66%, Constantly 67-100%Biohazardous waste/ hazards X rarely, □ occasionally, □ frequently, □ constantlyBlood and/or bodily fluids X rarely, □ occasionally, □ frequently, □ constantlyCommunicable diseases/pathogens X rarely, □ occasionally, □ frequently, □ constantlyChemical: Rarely <1%, Occasionally 1-33%, Frequently 34-66%, Constantly 67-100%Asbestos or lead X rarely, □ occasionally, □ frequently, □ constantlyCytotoxic Chemicals X rarely, □ occasionally, □ frequently, □ constantlyDust X rarely, □ occasionally, □ frequently, □ constantlyHazardous Chemicals X rarely, □ occasionally, □ frequently, □ constantlyGases/Vapors/Fumes X rarely, □ occasionally, □ frequently, □ constantlyHazardous Medication X rarely, □ occasionally, □ frequently, □ constantlyLatex X rarely, □ occasionally, □ frequently, □ constantlyEEOC StatementMaria Parham Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status, or any other basis protected by applicable federal, state, or local law.Job: Billing/Collections Organization: Maria Parham Phy Practices Title: Biller/Coder Level II Location: NC-Henderson Requisition ID: 7460-9101