ESSENTIAL DUTIES
· Prepares and submits timely and accurate claims to various insurance companies either electronically or by paper.
· Able to properly verify patient insurance utilizing resources as needed.
· Answers questions from patients, clerical staff, and insurance companies.
· Identifies and resolves patient billing complaints.
· Prepares, reviews, and sends patient statements.
· Evaluates patient’s financial status and establishes budget payment plans.
· Follows and reports status of delinquent accounts.
· Continuous monitoring and re-working of denied claims, including reviews of accounts receivable reports, and following up on items of concern.
· Reviews accounts for possible assignments and makes recommendations to the appropriate personnel.
· Prepares information for the collection agency.
· Works closely with the NextGen and EHR systems.
· Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to the third-party payers.
· Processes payments from insurance companies and prepares a daily deposit.
· Maintains strictest confidentiality to comply with HIPAA guidelines/regulations.
· Operates billing software to post patient account payments; send secondary claims.
· Maintain accurate files.
· Input and billing of charges in the practice management billing system.
· Patient insurance verification in practice billing system.
· Perform other duties as assigned.
MINIMUM REQUIREMENT
Associate Degree in Business Administration, health and/or human services, or related field, the American Academy of Professional Coders’ credential and/or Certified Professional Coder (CPC); Two (2) years medical billing experience; or equivalent combination of education and experience sufficient to successfully perform the essential duties. Valid driver’s license. BLS and HIPAA Certification. Level I fingerprint clearance card and must pass a criminal background check.
KNOWLEDGE, SKILLS, AND ABILITIES
- Knowledge of medical billing/collection practices.
- Knowledge of medical terminology, ICD-10, DSM-4 diagnosis, CPT and HCPCS Codes.
- Knowledge of computer programs specifically NextGen and EHR billing.
- Knowledge of claim filing guidelines with Medicaid, Medicare, and third-party payers.
· Knowledge of basic medical coding, third-party operating procedures, and practices.
*Must complete and submit an NACA, Inc. Employment Application, Letter of Interest, Resume and Transcripts. Application can be obtained through website www.nacainc.org. Any question, please contact Human Resources at (928)526-2968. Employer exercises EEOC and Indian preference in accordance with the Indian Preference Act.
Job Type: Full-time
Pay: From $23.75 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work setting:
Experience:
- ICD-10: 2 years (Required)
Ability to Commute:
- Flagstaff, AZ 86004 (Required)
Ability to Relocate:
- Flagstaff, AZ 86004: Relocate before starting work (Required)
Work Location: In person