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Primary Health Care, Inc (PHC) · 3 weeks ago

Billing Representative III

Des Moines, IA

Full-time

Onsite

Mid Level

$18.65/hr - $23.32/hr

3+ years exp

Primary Health Care, Inc (PHC) is dedicated to providing healthcare and supportive services to all. As a Billing Representative III, you will be responsible for the timely submission and payment posting of medical and dental claims, while also providing training and direction to junior billing representatives.

Health CareHospitalMedical

Responsibilities

Facilitates training for the billing team. Provides one-on-one and group training to new and existing staff using various approaches such as but not limited to on-the job training, written manuals and demonstration. Communicates on-going support, cross training, and feedback to the billing team members as needed. Provides feedback to the Director of Revenue Cycle on team members who may need additional performance coaching. Creates and maintains training workflows and documentation to represent current practices via auditing, workflows monthly

Conducts daily and weekly audits of accounts and batches to ensure all unapplied funds have been applied correctly and that all posted payments have moved claims to the appropriate status. Provides feedback to Practice Management Support as needed with appropriate follow up on system issues as discovered

Serves as billing team leader, including delegating tasks in the absence of the Director of Revenue Cycle, completing month end closing procedures, and working necessary financial reports. Collaborates with Director of Revenue Cycle to set priorities for excellent productivity. Monitors billing team work completion, identifies priorities, and assigns tasks to team members. Delegates specific tasks forwarded by COS/HBS staff for immediate resolution

Works effectively to maintain billing rejects to a rate of less than 5% through audits and training, group and individual training

Completes daily input of charges and ensures compliance with established goals for billing, including the timely submission of all clinic charges and daily editing, ensuring appropriate coding, pay codes, etc. Ensures compliance with all State and Federal patient financial service requirements, including, but not limited to patient-rights, confidentiality, and third-party billing

Responds appropriately to inquiries on accounts by patients or third-party payors. Reviews and disseminates incoming correspondence, including mailed denials, within 48 hours of receipt

Qualification

Healthcare billing softwareCDT/CPT codingICD-10-CM codingMedicareMedicaid regulationsTrainingFacilitationCustomer service skillsMicrosoft Office proficiencyTeam lead experienceBilingual proficiencyWritten communicationVerbal communicationInterpersonal skills