Patient Accounts Representative - NCFHC, Full Time (1)

PRINCIPAL JOB DUTIES:

• Analyzes and validates CPT-4, HCPCS, and ICD-10 codes on all charges submitted by providers
• Processes daily charge tickets, ensures accurate census count, estimates daily charges per provider
• Prepares accounts for billing to all third party payers including Medicare, Medi-Cal, Worker’s Compensation, Managed Care, Commercial, etc. according to Rural Health Clinic guidelines
• Performs tasks as necessary to ensure the accurate, timely resolution of patient accounts in accordance with NCFHC/MCDH and Federal established procedures
• Assists patients and their representatives in a professional manner by providing accurate information and identifying problems needing resolution
• Processes refunds in a timely manner
• Identifies and reports system updates to the Business Office Manager in a timely fashion
• Accurately documents all patient account activity
• Prepares late charges, updating payer information, and resubmitting claims in a timely fashion, as required
• Reviews and responds to remittance advice denials, short-pays, suspends, etc. in a timely manner
• Performs other duties as assigned

• High school graduate or equivalent
• Two years prior experience in billing and collections in an RHC, FQHC, or hospital setting
• Two years prior experience in completion of UB04 and HCFA 1512 forms in accordance to Federal Government programs (Medicare), as well as all State and Commercial third party payers
• Extensive knowledge of CPT, HCPCS, UB04 revenue coding, modifiers Rural Health Clinic preferred
• Ability to work autonomously and as a team member by enhancing team effectiveness by supporting team members within the Business Office and the organization
• Ability to accurately perform basic mathematical computations
• Demonstrated ability to read, understand and follow instructions
• Ability to effectively communicate verbally and in writing
• Working knowledge of the use and applications of computers (preferably Microsoft Excel and Word)
• Ability to operate computer 10-key pad by touch
• Ability to communicate in Spanish highly desirable
• Capable of performing position related physical requirements
• NextGen experience preferred.