Maria Parham Health

Biller/Coder Level II

Maria Parham Health Henderson, NC
No longer accepting applications

06460 Maria Parham Biller/Coder Level II - 12.28.2020

Job Summary

Provide administrative support, performs clerical and customer service functions, as well as non-technical duties in the clinic.

Use knowledge of CPT and ICD 10 codes to accurately code and bill for office visits, out patient procedures, in patient visits, and in patient procedures.

Reports to: Dir Physician Practice

FLSA: Non-exempt

Grade: G13

EEO: 01 Officials and Managers 02 Professionals 03 Technicians 04 Sales Workers X 05 Administrative Support Workers 06 Craft Workers 07 Operatives 08 Laborers and Helpers 09 Service Worker

Job Requirements

Minimum Education

High school diploma or equivalent required

Bachelor's degree preferred

Licenses: AAPC or AHIMA certification preferred

Two years of college preferred

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Detailed oriented

Requires knowledge of medical billing and collection practices and procedures for commercial insurance companies, Medicare and Medicaid.

Experience with billing process; claims - electronic and paper, authorizations, payment posting, CPT coding, benefit verification, EOB's and ERA's.

Self-motivated and able to prioritize tasks.

Good communication skills with patients and insurance companies.

Working knowledge of medical terminology.

Essential Functions

Prepares statistical reports and performs clerical functions such as preparing and sending outgoing mail, distributing incoming mail, maintaining filing systems, entering data and maintaining databases, typing documents and correspondence, photocopying, scanning, and faxing.Handles information requests, including reviewing files and records, answering inquiries, and responding to incoming work requests.

Process insurance claims for private and employer insurance reimbursement

Process insurance claims for Medicare and Medicaid insurance reimbursement.

Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses.

Process and follow up on payer denials, consulting with the patient and /or insurance provider as needed.

Discuss outstanding payment amounts with patients regarding balance owed by reviewing explanation of benefits.

Identify and report payor trends and issues to effect timely resolution.

Follow up with the provider on any documentation that is insufficient or unclear.

Functional Demands

Populations ServedX Does not treat or care for patients. Neonate (<30 days) Infant (<1 year) Early Childhood (1 year and <5 years) Late Childhood (5 years and <13 years) Adolescent (13 and <17 years) Young Adult (17 to <30 years) Middle Adult (30 years to <60 years) Older Adult (>60 years)

Protected Health InformationType of Protected Information Accessed: Demographic Clinical Insurance Financial Complete Medical Record

Bloodborne Pathogens ExposureWhile performing this job, occupational exposure is present for all employees

Physical Requirements - Physical Dexterity and Effort: Rarely <1%, Occasionally 1-33%, Frequently 34-66%, Constantly 67-100%Bending/Stooping rarely, occasionally, X frequently, constantlyClimbing rarely, X occasionally, frequently, constantlyKeyboard Data Entry rarely, occasionally, frequently, X constantlyKneeling X rarely, occasionally, frequently, constantlyLifting/Moving Patients X rarely, occasionally, frequently, constantlyReaching rarely, X occasionally, frequently, constantlyRepetitive Foot/Leg Movements X rarely, occasionally, frequently, constantlyRepetitive Hand/Arm Movements rarely, occasionally, frequently, X constantlyRunning X rarely, occasionally, frequently, constantlySitting rarely, occasionally, frequently, X constantlySquatting X rarely, occasionally, frequently, constantlyStanding X rarely, occasionally, frequently, constantlyWalking X rarely, occasionally, frequently, constantlyPushing / Pulling: 0-25 lbs. X rarely, occasionally, frequently, constantlyPushing / Pulling: 26-75 lbs. X rarely, occasionally, frequently, constantlyPushing/Pulling: over 75 lbs. X rarely, occasionally, frequently, constantlyLifting/Carrying (non-patient) : 0-25 lbs. X rarely, occasionally, frequently, constantlyLifting/Carrying (non-patient) : 26-75 lbs. X rarely, occasionally, frequently, constantlyLifting/Carrying (non-patient) : over 75 lbs. X rarely, occasionally, frequently, constantly

Visual Acuity, Hearing and Speaking: Rarely <1%, Occasionally 1-33%, Frequently 34-66%, Constantly 67-100%Audible Speech rarely, occasionally, frequently, X constantlyHearing Acuity rarely, occasionally, frequently, X constantlySmelling Acuity X rarely, occasionally, frequently, constantlyTaste Discrimination X rarely, occasionally, frequently, constantlyVision: Depth Perception rarely, occasionally, frequently, X constantlyVision: Distinguish Color X rarely, occasionally, frequently, constantlyVision: Seeing Far rarely, occasionally, frequently, X constantlyVision: Seeing Near rarely, occasionally, frequently, X constantly

Biological: Rarely <1%, Occasionally 1-33%, Frequently 34-66%, Constantly 67-100%Biohazardous waste/ hazards X rarely, occasionally, frequently, constantlyBlood and/or bodily fluids X rarely, occasionally, frequently, constantlyCommunicable diseases/pathogens X rarely, occasionally, frequently, constantly

Chemical: Rarely <1%, Occasionally 1-33%, Frequently 34-66%, Constantly 67-100%Asbestos or lead X rarely, occasionally, frequently, constantlyCytotoxic Chemicals X rarely, occasionally, frequently, constantlyDust X rarely, occasionally, frequently, constantlyHazardous Chemicals X rarely, occasionally, frequently, constantlyGases/Vapors/Fumes X rarely, occasionally, frequently, constantlyHazardous Medication X rarely, occasionally, frequently, constantlyLatex X rarely, occasionally, frequently, constantly

EEOC Statement

Maria Parham Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status, or any other basis protected by applicable federal, state, or local law.

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

Required

Preferred

Job Industries

  • Other
  • Seniority level

    Entry level
  • Employment type

    Full-time
  • Job function

    Accounting/Auditing and Finance
  • Industries

    Hospitals and Health Care

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