Ambulance Services, Billing, Billing Software, Calendar Management, Claims Processing, Content Management Systems (CMS), Corporate Policies, Credit and Collections, Customer Support/Service, Data Entry, EMT-Paramedics, Equipment Maintenance/Repair, Federal Compliance Regulations, Federal Laws and Regulations, HIPAA (Health Insurance Portability and Accountability Act), High School Diploma, Information/Data Security (InfoSec), Interpersonal Skills, Maintain Compliance, Medicaid, Medical Billing, Medicare, Policy Development, Procedure Development, Process Improvement, Quality Management, Regulations, Regulatory Compliance, Safety Standards, State Laws and Regulations, Time Management
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
The Billing & Collections Rep is responsible for obtaining all insurance information, verifying the information and processing the claim. They are also responsible for follow up on all claim submissions. Billing Specialists are to ensure proper CMS, State and Federal Regulatory compliance.
EEO/AA/Disability/Veteran
Responsibilities:
- 1. At all times display professional and courteous conduct and appearance
- 2. Diligent adherence to protection of Personal Health Information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA) regulations.
- 3. Demonstrate sensitivity to community and cultural norms.
- 4. Follow established policies and procedures for State and Federal regulatory Compliance.
- 5. Answer overflow incoming phone lines from Call Taking Department and processes the information in an accurate, timely, and courteous manner.
- 6. Understand and maintain equipment located in the Billing Department.
- 7. Report major malfunctions to the supervisor or manager.
- 8. Participate in quality improvement activities; assists in maintaining compliance with all established customer service standards. Maintains performance levels consistent with departmental standards including Certification in Ambulance Coding.
- 9. Support and uphold established corporation and department policies, procedures, objectives, quality improvement, and safety standards.
- 10. Monitor and document incidents out of the norm, and errors/emissions. Report non-compliance standards to the Supervisor or Manager.
- 11. Enters data accurately and completely into the Billing Software system for all claims.
- 12. Maintain positive behaviors, approaches, attitude and commitment to interpersonal service toward customers, visitors, and coworkers. Maintain a calm, non-emotional and professional atmosphere in the organization at all times.
- 13. Make recommendations for process improvement. Accurately provide assistance and instruction to co-workers.
- 14. Attend scheduled department meetings and training sessions.
- 15. Adhere to all company policies and procedures.
- 16. Perform other duties as assigned by management.
Qualifications:
EDUCATION
High School diploma or GED. BS/BA degree in related field preferred.
EXPERIENCE
Two years EMS billing experience or related Medical billing.
LICENSURE
Current certification as a CT EMT preferred. Ability to obtain National Ambulance Coding Certification within 6 months of employment.
SPECIAL SKILLS
Knowledge of Medicare/Medicaid Regulations. Knowledge of ICD-9 and ICD-10 Codes.