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POSITION:
DATA ENTRY SPECIALIST (flex-time possible:
YES
)
[top]
RESPONSIBILITIES:
- Primary function is the
daily inputting of all medical documents into computer system for billing
purposes, with speed and accuracy.
- Secondary function is
assisting with other work assigned to the department such as, Edits and/or
Return mail.
NEW
CHARGE ENTRY DEPT:
- Input of new patient information from the copy of
the hospital records.
CASH
ENTRY DEPT:
- Input and balancing of payment batches.
- Input of all adjustments to accounts already on the computer, consisting
of name and address changes, insurance updates, etc.
BOTH DEPARTMENTS:
- File all completed work in order, by client, in the
proper area.
- Assisting with edits when needed.
KNOWLEDGE OF: Alpha and
numeric entry
SKILLS/ABILITY TO:
- Excellent verbal & written skills
- Strong organizational & analytical skills
- Excellent interpersonal communication skills
- Excellent customer service orientation
- Typing speed 55 wpm
POSITION:
MEDICAL CODER
(flex-time possible:
YES) [top]
RESPONSIBILITIES:
- Primary function is to accurately read and
indicate the correct diagnosis code for the patient of which the chart is
being coded.
- Secondary function is to assign the
correct E&M level based on the documentation given.
- Use of the ICD-9 and CPT coding and
procedure books.
- Usage of signs and symptoms and payer
specific diagnosis codes.
- Usage of E&M levels and how to link them
to the correct diagnosis code.
- Usage of modifiers and listing order of
procedure codes performed.
- Application of medical statistics for
x-rays, labs, and EKG's.
- Completing accurate charts in a reasonable
amount of time with an approximate total of 25-35 charts an hour.
- Assisting other coders with charts if
necessary.
- Process incoming and outgoing physician
returns for documentation.
- Process of late charts and balance sheets.
- Any possible miscellaneous projects
assigned.
KNOWLEDGE OF: ICD-9 & CPT,
HCFA requirements, E&M levels/Diagnosis codes, Modifiers/medical coding and
Computer skills
SKILLS/ABILITY:
- Excellent verbal & written skills
- Strong organizational & analytical skills
- Excellent interpersonal communication
skills
- Excellent customer service orientation
POSITION:
BILLING (flex-time
possible: YES)
[top]
RESPONSIBILITIES:
- Primary function is the daily
performance of all billing procedures using speed and accuracy.
- Secondary function is to assist patients
with obtaining payments from insurance companies.
- Obtaining correct insurance information
and updating accounts.
- Preparing charts with correct billing
information for data entry.
- Correcting problem accounts from hold
reports edits and master audits.
- Assisting patient services with patient
calls as needed.
- Miscellaneous billing projects or tasks
as assigned by supervisor or manager.
KNOWLEDGE OF: Medical
terminology, Computer and phone skills.
SKILLS/ABILITY TO:
- Excellent verbal & written skills
- Strong organizational & analytical
skills
- Excellent interpersonal communication
skills
- Excellent customer service orientation
- Meet deadlines and Quotas
- Work shift/hours assigned
- Work without immediate supervision
- Attendance of monthly billing meetings
- Openly communicate
- Multi-task
PHYSICAL DEMANDS:
While performing the duties
of this job, the employee is regularly required to talk, hear or write.
The employee frequently is required to stand, walk, and sit. The employee
may be required to use hands to finger, handle, or feel; reach with hands
and arms; climb or balance; stoop, kneel, crouch, or crawl. The employee
must occasionally lift and/or move up to 25 pounds. Specific vision
abilities required by this job include close vision, distance vision, color
vision, peripheral vision, depth perception, and ability to adjust focus.
Reasonable accommodations
may be made to enable individuals with disabilities to perform the essential
functions
POSITION:
PROVIDER
ENROLLMENT/CREDENTIALING SPECIALIST
(flex-time
possible: YES)
[top]
RESPONSIBILITIES:
- Primary function
to get all the physicians credentialed with the various carriers,
(Medicare, Medicaid, BCBS of various states, Champus, Railroad Medicare)
so that we call file claims for proper reimbursement. Make sure that all
provider numbers are active and downloaded in the system.
- Obtaining
physician applications from the various clients that we handle the
billing for.
- Make sure all the
necessary documentation is obtained before submitting applications.
- Assisting various
insurance carriers with questions related to the different providers
(example: UPIN numbers, Specialty, type of physician)
- Inputting
provider numbers into the system so claims are generated for
reimbursement.
- Miscellaneous
jobs (example: mail correspondence from different departments and
insurance companies)
KNOWLEDGE OF: Computer skills,
Organizational skills
POSITION:
PRE-COLLECTIONS
(flex-time
possible: YES)
[top]
RESPONSIBILITIES:
- This is the final attempt to contact an
account that has been billed but not paid and is scheduled to be turned
over to a collection agency.
- To contact the patient and inform them
that they are about to be turn into a collection agency for non-payment
of their account.
- To allow the patient to arrange a
payment plan to play their bill.
- To obtain any insurance or other billing
information that was not available or given at the time or service.
- To enter information into the computer
regarding the accounts and reschedule billing when needed.
- To assist with the return mail calling
whenever time allows.
KNOWLEDGE OF:
Proper phone etiquette, Computer skills
SKILLS/ABILITY TO:
- Excellent verbal & written skills
- Strong organizational & analytical
skills
- Excellent interpersonal
communication skills
- Excellent customer service
orientation
PERSONAL CHARACTERISTICS:
- Team player
- Initiative/ Innovative
- Follow through
- Attention to detail
- Self-starter/ Flexible
- Maintain confidentiality
POSITION:
PATIENT SERVICES
(flex-time
possible: YES)
[top]
RESPONSIBILITIES:
- Primary function is to
answer incoming calls from patients and clients with speed
and accuracy.
- Secondary function is to
assist with other work assigned to the department, such as
patient correspondence.
- Obtaining insurance
information from patients, insurance companies and clients.
- Completing necessary
paperwork for data entry to key that information onto the
patient's account.
- Assisting patients with
complaints, refund request and discount request.
- Miscellaneous projects as
assigned.
KNOWLEDGE
OF: Proper phone etiquette, Computer skills
SKILLS/ABILITY TO:
- Excellent verbal &
written skills
- Strong organizational &
analytical skills
- Excellent interpersonal
communication skills
- Excellent customer
service orientation
PERSONAL CHARACTERISTICS:
- Team player
- Initiative/
Innovative
- Follow through
- Attention to detail
- Self-starter/
Flexible
- Maintain
confidentiality
POSITION:
MEDICAL RECORDS
(flex-time
possible: YES) [top]
RESPONSIBILITIES:
- Primary function of this
department is the accurate filing of our medical records, which includes
the hospital charts, payments and EOB's.
- A secondary function would
be copying, faxing, or doing research on accounts using the computer.
- Sorting of all documents
that need to be filed into the correct order for that document.
(alphabetical or numerical)
- Filing all charts and
batches in correct order by the group and client.
- Pull requested information
and take to proper person.
- Coping charts and/or
payments as given to you.
- Faxing information as
given to you.
- Researching account
information using the computer system.
KNOWLEDGE OF: · Organizational
skills, making copies & faxing records, filing computer skills
SKILLS/ABILITY TO:
- Excellent verbal &
written skills
- Strong organizational
& analytical skills
- Excellent
interpersonal communication skills
- Excellent customer
service orientation
PERSONAL CHARACTERISTICS:
- Team player
- Initiative/
Innovative
- Follow through
- Attention to
detail
- Self-starter/
Flexible
- Maintain
confidentiality
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