Billing Specialist & Hospital Admissions

JOB DESCRIPTION

Job Title: Billing Support Specialist & Hospital Admissions Representative

Department: Revenue Cycle

Reports To: Revenue Cycle Director

Position Summary:

To perform a variety of reception, admitting, and financial duties in accordance with generally accepted accounting practices. Will work closely with administration, office staff and the general public.

Qualifications and Requirements:

1. License and Certifications Required: None

2. Educational Requirements:

• Must be able to read, write, speak and understand English
• Completion of elementary education or otherwise show ability to read, write, and follow oral and written directions
• Ability to perform mathematical functions
• Must be at least 16 years of age

3. Experience Requirements: None

4. Special Skills or Training:

• Positive attitude toward the elderly and coworkers
• Ability to evaluate and interpret information and make independent decisions

5. Physical Requirements:

• Standing, walking, bending, sitting, lifting, grasping, fine hand coordination
• Ability to hear
• Ability to remain calm under stress

Essential Duties and Responsibilities:

1. Responsible for daily opening and /or closing of office.
2. Admit overflow MCMC patients including IP, OP, Swing Bed, Lab, Radiology, Physical Therapy and Emergency Room.
3. Act as telephone and facility back up receptionist, keeping telephone and front desk covered at all times.
4. Complete necessary Admissions by verifying coverage online or by phone and entering complete demographic information.

5. Responsible for any necessary Admission corrections in STAR billing system.

6. Complete required Physical Therapy Discharges in STAR billing system making sure the doctors are listed correctly and the occurrence codes and dates are correct.

7. Collect and process copays and payments on account.
8. Provide assistance in the following areas: hospital billing, billing follow up, and any required accounts receivable duties.
9. Notify Indian Health Service for Outpatient admissions and charges.
10. Submit any 1500 paper and UB paper claims to Indian Health Services.

11. Assist with any payer credentialing needed.

12. Submit specific electronic claims for select payers.

13. Assist with any patient, clinic and hospital billing inquiries.

14. Provide back up for month end processes for all Swing Bed patients.

15. Maintain all dollars for petty cash, lunch tickets, jeans day and auxiliary.

16. Maintain Resident, Patient, and Facility Confidentiality.

17. Know and comply with Residents' Rights rules.

18. Treat Residents, Patients, Visitors and Co-workers with kindness, dignity and respect at all times.

19. Attend and participate in orientation, training, mandatory education, in-services, staff meetings and education courses as instructed to further improve knowledge and skills.

20. Promote teamwork; encourage others to work to the best of their ability; assist with training of new co-workers, if needed.

21. Have a positive attitude; accept change willingly; follow facility rules, regulations and job assignments; accept suggestions well for work improvement; perform well with minimum supervision; do what is requested without complaint; cooperate with supervisor and show respect at all times; speak well of company and job.

22. Lack of absences and tardiness; request changes to schedule infrequently; give timely notice of absences; take allowed time for breaks.

23. Follow company dress code