Shire Jobs

+-----------------------------------------------------------------------+ | Position Summary: | | | | Handles the posting of payment and adjustments to patient accounts | | with proper documentation.  Makes adjustments and refunds as | | appropriate. processing of sorting and receiving incoming payments | | with attention to accuracy along with managing the status of | | accounts/balances and identifying inconsistencies.  Will bill claims | | and follow up until a resolution is achieved.  THIS IS AN OFFICE | | BASED POSITION. | | | | Position Description: | | | | - Responsible for posting payer cash, checks, credit cards and | | adjustment to patient accounts and $0 payments. Assures that | | posting is accurate and posted in a timely manner within 72 hours | | of verified receipt of payment. | | - Includes all comments and codes for denial reasons. | | - Reviews, reports & tracking of all zero dollars, denials and | | underpaid amounts that fall outside clients' collection policy to | | the appropriate Billing Specialist and/or Manager. | | - Makes line item adjustments, as directed, for all zero pays and | | denials in an accurate and timely manner, as indicated by the | | payer EOB. | | - Identify accounts that need to be refunded appropriate Billing | | Specialist or Manager. | | - Ensure correct payment processing. Run, analyze & compare | | balancing report to ensure accurate posting. | | - Run patient statement monthly. | | - Abide by HIPAA and PHI guidelines at all times. | | - Other duties as assigned | +-----------------------------------------------------------------------+

Qualifications

Required Knowledge, Skills and Abilities:

• Knowledge of basic policies and procedures or functions of a medical or behavioral health practice
• Knowledge of HIPAA, Compliance related to an outpatient practice
• Knowledge of EHR computer programs and billing applications
• Knowledge of professional claims, billing and collections
• Skill in exercising a high degree of initiative, judgement, discretion, and decision-making to accurately post payments
• Skill in establishing and maintaining effective working relationships with co-workers, providers, leadership staff, and patients
• Ability to organize and prioritize work effectively to meet the set goals, deadlines, and objectives of the position
• Ability to communicate clearly and effectively both in writing and verbally
• Proficient with Excel spreadsheet

• Excellent customer service skills, attention to detail, and a strong team player

   

Job Requirements:

• High School diploma or High School Equivalency
• Previous experience in medical group practice environment preferred
• Experience in medical or beharioral health coding and reimbursement, A/R, medical payment positng, and payment reason demial codes prefered

• 5 years of proven experience in billing

   

Essential Functions/Physical Demands:

Positional: Driving in accordance with job duties assigned. Infrequent standing and walking. Constant sitting.

Gross Mobility: Rare climbing, or crawling. Infrequent balancing, stooping, k eeling, or crouching. Frequent to constant reaching and handling.

Sensory: Rare tasting/smelling. Infrequent use of color vision. Occasional use of far visual acuity, depth perception, and field of vision. Frequent use of near and midrange visual acuity, and v