CLOSING DATE: Open Until Filled
POSITION: LRCHC Account Representative/Medical Biller
SALARY: $20.92 per hour DOE
REPORTS TO: Billing Supervisor
LOCATION: Lake Roosevelt Community Health Center (Inchelium/Keller)
Lake Roosevelt Community Health Centers provide responsive, high quality health care services that meet the needs of all users in a non-discriminatory, confidential, compassionate, and professional atmosphere. To meet this mission, it is expected that all employees, regardless of job title, perform their job duties in a professional manner; this expectation includes awareness of and providing high-quality service to our many customers, developing, and maintaining job competence, ethical personal behavior, the development, and job maintenance of supportive and caring relationships with others at work and basic professional integrity. Meeting these expectations is a minimum requirement for continued employment.
An Account Representative/Medical Biller is responsible for organizing patient medical costs and sending invoices to collect payment from patients and their insurers. Their duties include calling patients to discuss payment and develop reasonable payment plans, entering patient data into administrative systems and recording information about outstanding claims.
Education and Training:
- High School Diploma or GED
- Formal ICD-10-CM, ICD-10-PCS, CPT-4 training; associate or bachelor’s degree; education will be considered in lieu of experience.
- RHIT (registered health information technician), RHIA (registered health information administrator), CDIP (certified documentation improvement practitioner), CCS (certified coding specialist), CIC (certified in-patient coder) OR current certified facility in-patient coder.
Knowledge, Skills, and Abilities:
- Knowledge of health insurance business, industry terminology, and regulatory guidelines
- Knowledge of healthcare terminology.
- Knowledge of various office procedures for coordination of billing requirements/processing.
- Knowledge of and the ability to: identify the ICD-10-CM/PCS code assignment, code sequencing, and discharge disposition, in accordance with CMS requirements, Official Guidelines for Coding and Reporting, and Coding Clinic guidance.
- Experience using Microsoft Excel (create/edit spreadsheets, use sort/filter functions, and perform data entry)
- Understanding of Medicaid, commercial carriers, and general healthcare billing guidelines.
- Minimum of 2 years ICD-10-CM/ICD-10-PCS coding and abstracting experience at a Level 1 Trauma hospital OR 4 years of experience with coding in-patient hospital medical records. 2-3 years ambulatory coding experience.
- Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem-solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability.
- Working knowledge of RPMS IHS software or other billing software.
- Requires sufficient knowledge of proper English usage, grammar, spelling, and punctuation to prepare professional correspondence and write/edit report text and ability to keep detailed records.
- Requires sufficient human relations skills to work productively and cooperatively with other work teams, exercise patience when dealing with internal and external customers, and convey technical concepts.
- Better than average work performance and above average attendance.
- Excellent customer service skills, self-starter, able to multitask and is detail oriented.
- Good telephone etiquette.
- Exceptional organization skills.
- Strong computer skills and experience with healthcare databases and applications.
- Participates in team building and conflict resolution.
- Maintain strict confidentiality and demonstrate cultural sensitivity.
Sitting, weightlifting up to 50 pounds, bending/stooping, crouching, twisting, reaching, operation of equipment tools, foot controls, etc. Requires sufficient hand-eye-arm coordination utilized to operate a variety of general office equipment. Requires visual acuity to read words and numbers. Requires auditory ability to carry on conversations over the phone and in person.
Licenses and Certificates:
Requires a valid Washington State Drivers license and must be eligible for the Tribes vehicle insurance and maintain throughout employment. HIPAA and Privacy Act training and certificates required annually. Billing and coding certification. Blood borne pathogens training required.
Work is performed indoors. Coordinates with other Tribal programs as services may be required/requested.
A background clearance may be required. Tribal member and Indian preference will apply. Preference will be given to honorably discharged veterans who are minimally qualified. Documented Covid-19 vaccination is required. Professional conduct, ethic, and confidentiality are expected always.
CONTACT INFORMATION: Lake Roosevelt Community Health Centers, Human Resources Department, P. O. Box 290, Inchelium, WA 99138, Contact Leeann Romero, 509-722-7686 or firstname.lastname@example.org