Accounts Receivable/Billing Technician

JOB SUMMARY:

Assist in EMS quality assurance to include monitoring the accuracy of submitted reports and working closely with a third-party billing company. Maintain customer confidence and maintain HIPAA compliance by protecting PHI. Assist with and manage special Accounts Receivable (AR) projects and research. Answer billing inquiries from patients, staff, customers, and insurance companies, and resolve complaints. Monitor charge entries and accounts receivable. Maintain a high level of knowledge on current and pending regulation and legislation as they affect billing and collection activities (Medicare, Medicaid). Maintain compliance with OSHA, HIPAA, Medicare and Medicaid. Establish and maintain a courteous and professional attitude with all appropriate supervisors, co-workers, customers, contract vendors and patients.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

May assist the public on payment procedures, insurance, and Medicare/Medicaid filing.

Answer billing inquiries and resolve complaints from patients, staff, and customers.

Maintains and updates customer files, including name or address changes, mergers, or mailing attentions.

Copies, files, and retrieves materials for accounts receivable as needed.

Verify demographic and insurance information in patient registration of the EMR software system at the time of charge entry to ensure accuracy, provide feedback to contract vendor and supervisor to ensure timely reimbursement.

Provide customer service on the telephone and in the office for all clients and authorized representatives regarding patient accounts. Process refunds to insurance companies and patients in accordance with department protocol.

Verifies cash/checks received; prepares monies received for deposit; balances monthly reports.

Prepares various departmental or subsystem financial reports including collection agency reports and monthly summary reports.

Meets billing operational standards by contributing billing information to strategic plans and reviews.

Makes mathematical calculations; verifies various accounting tables and reports.

Files voucher, receipts, correspondence and other materials according to a prearranged filing system.

Coordinate request for information from third-party billing company, collection agency and attorneys.

Compile and complete month end balances.

Work in resolving invoice disputes; maintaining customer relations.

Work with Collection Company with any accounts that are sent in error.

Provide Monthly EMS Statistics (Responses, Transports, Funds Collected).

Implements production, productivity, quality, and customer-service standards within the service and outsource billing company by resolving problems.

Identifying billing system improvements.

May provide technical assistance, answer questions and/or train other clerical employees; may relieve other clerical or secretarial staff as necessary.

Regular and predictable attendance is required.

Performs other related duties as required.

MATERIALS AND EQUIPMENT USED:

Computer Calculator

Fax Machine Copy Machine

Postage Machine Multi-Line Telephone

MINIMUM QUALIFICATIONS REQUIRED:

Education and Experience:

High School Diploma or equivalent required; Associate or bachelor’s degree in Accounting preferred.

Preferred 2+ years’ experience within a medical office and/or medical billing environment.

Requires a good understanding of the current Medicare Compliance and HIPAA regulations.

Requires a high proficiency in Excel.

Requires a high degree of organization.

Any equivalent combination of education and experience, which provides the minimum level of qualifications, stated above.

License and Certifications:

Preferred Certified Ambulance Coder

Knowledge, Skills, and Abilities:

Anatomy and medical terminology knowledge required.

Knowledge of medical billing procedures, and coding of insurance claims.

Knowledge of bookkeeping and accounting principles, practices, methods and procedures.

Knowledge of departmental accounting systems and procedures.

Knowledge of modern office practices, procedures, and equipment including computers and word processors.

Skill in mathematical calculations.

Ability to work independently, self-starter and a team player.

Ability to apply bookkeeping principles to the maintenance of standard fiscal and accounting records.

Ability to provide outstanding customer service and deal courteously and diplomatically with the public and be tactful with angry/hostile customers.

Ability to communicate clearly and effectively, both orally and in writing.

ADA MINIMUM QUALIFICATIONS:

Physical Ability: Essential functions of this position continuously require the ability to remain in a stationary position (sitting or standing); operate a computer and other office machinery, such as a calculator, copier, and printer. Incumbents must continuously be able to think analytically; handle stress and emotion, concentrate on tasks, remember names and other details; examine and observe details; make decisions, and adjust to change. Incumbents must also continuously direct others; meet deadlines; stay organized; use math/calculations and use a keyboard/type.

Essential Functions frequently require the ability to move about inside the office; and move/transport items up to 10lbs.

Essential functions occasionally require the ability to bend body downward and forward by bending spine and legs, and twisting at the waist, hips or knees; reach overhead; push or pull; and repetitively use hands/arms/legs. Incumbents in this position are occasionally required to be on-call and work irregular hours.

Sensory Requirements: Essential functions regularly require the ability to use effective verbal and written communication; and use of hand/eye coordination and fine manipulation to use equipment.

Environmental Factors: Essential functions of this position continuously require the ability to either work with others or work alone.

This class specification should not be interpreted as all-inclusive. It is intended to identify the major responsibilities and requirements of this job. The incumbents may be requested to perform job-related responsibilities and tasks other than those stated in this specification.