Billing Representative Primary Health Care, Inc. Des Moines

Title Billing Representative
Date 14 July 2020
Company Primary Health Care, Inc.
City Des Moines

Short Description :

Financial service issues, including, but not limited to patientrights confidentiality and thirdparty billing This position requires a candidate who demonstrates strong technical knowledge, expertise in medical and dental billing and strong problem solving capabilities Five years ,…

Full Description :

Detailed Description

The Billing Representative must prioritize workflow to ensure PHC receives optimal revenues in the most timely and efficient manner. Will routinely interact with various internal and external contacts including management, third-party payors, government agencies, and fiscal intermediaries. This position requires a candidate who demonstrates strong technical knowledge, expertise in medical and dental billing and strong problem solving capabilities. Exceptional communication and interpersonal skills are required in order to effectively interact with staff, management, patients, and payors. Must be able to handle a variety of situations, changes in priorities, and handle multiple tasks in a FQHC environment.

Essential Functions

1. Ensure compliance with established goals for billing, including the timely submission of all clinic charges and daily editing, ensuring appropriate coding, pay codes, etc., for clean claim submission.
2. Complete daily and monthly reporting requirements.
3. Effectively research returned claims/denials to identify billing issues. If necessary:
  • obtain corrected claim information and re-bill
  • document account activity in system
  • call third party payors
  • work established reports to follow-up on insurance claims
4. Assist/complete secondary billing when necessary.
5. Ensure compliance with PHC policies and procedures.
6. Ensure compliance with all State and Federal patient financial service issues, including, but not limited to patient-rights (confidentiality) and third-party billing.

7. Appropriately respond to inquiries on accounts either by customer or third party payors.

Minimum Requirements

1. High school graduate or GED.
2. One year experience in medical patient billing. Five years of experience or some dental experience preferred.
3. Understanding of CPT and ICD-10-CM coding with knowledge of managed care programs and billing requirements.
4. Demonstrated understanding of insurance contractual agreements, Medicare and Medicaid regulations and appeals process.
5. Excellent written and verbal communication skills.
6. Proficient keyboarding and 10 key skills

7. True customer service oriented work style.

Typical Work Hours
This position typically works 40 hours per week. The schedule for this position will typically be: Monday through Friday 8:00 AM to 4:30 PM.
Compensation & Benefits
The pay range for this position is $13.85$20.77. Compensation offered is based on the individual’s related experience and education.

This position is eligible for PHC’s benefit package. Visit www.phciowa.org/careers for a summary of PHC’s benefits.

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