Clinic Coding/Billing Spec

Department: Administrative Center-FCC
Hours: Per Week 40.00
Location: Immanuel Family Care Clinic
Shft: DaysJob Description:Verify, update, and/or correct patient registration information from demographic paperwork that is submitted with the encounter forms for each patient visit to the clinics. Changes to both the patient and the guarantor demographics may be needed. This may include, but is not limited to, name, address, phone number, social security number, date of birth and employment information. Verify, update, and/or correct insurance information as it relates to the patient account according to the information found on the copy of the insurance card that is submitted with the encounter forms for each patient visit to the clinics. This may include, but is not limited to, subscriber name, name of company, subscriber number, group number, claims mailing address, and co-pay amounts. Post charges to the patient accounts for services provided in the clinics. Responsibilities related to this task include, but are not limited to, accurate keying in of the data provided on the encounter form, using current fee schedules, supplying valid information to the CBO for the purpose of establishing fees for services not currently in the fee schedule. Perform batch reconciliation at the end of each batch of charges entered and make the appropriate entries to log the work performed so accurate records can be kept for tracking and verification purposes.Experience Required: Prior experience in medical billing, coding, and data entry as it relates to charges generated by health care providers in the clinic and hospital setting; knowledge of insurance protocols; knowledge of medical terminology. Preferred: All required experience with more than one year experience in an ambulatory health care setting.Education/Licensure Required: High school diploma; GED equivalent with and aptitude in math, office/clerical skill, computer applications, training in CPT and ICD-9 coding. Preferred: CPC with medical terminology.Knowledge/Skills/Abilities
Knowledge of:
phone systems
typing/keyboarding
customer service, to include internal and external customers
cash handling
organizational skills
office equipment
computer and computer applications
organization policies, regulations and procedures
risk management; quality improvement
insurance protocols
ICD-9, CPT coding
Skills as demonstrated through:
continuous accurate verbal and written communication, to include appropriate grammar, correct spelling, legible handwriting, reading comprehension and follow-through on instructions
establishing and maintaining cooperative and collaborative working relationships with patients, medical staff and the public
continuous time, resource and task management
access, manipulate and maintain computer data per clinic specifications
correct and accurate basic math applications to include addition, subtraction, multiplication and division; application of calculator functions
REQUIREMENTS
Please see Job Description