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.

License and Certifications

Required:

None

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

Experience Requirements: None

Special Skills or Training:

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

Physical Requirements:

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

• Responsible for daily opening and /or closing of office.
• Admit overflow MCMC patients including IP, OP, Swing Bed, Lab, Radiology, Physical Therapy and Emergency Room.
• Act as telephone and facility back up receptionist, keeping telephone and front desk covered at all times.
• Complete necessary Admissions by verifying coverage online or by phone and entering complete demographic information.
• Responsible for any necessary Admission corrections in STAR billing system.
• Complete required Physical Therapy Discharges in STAR billing system making sure the doctors are listed correctly and the occurrence codes and dates are correct.
• Collect and process copays and payments on account.
• Provide assistance in the following areas: hospital billing, billing follow up, and any required accounts receivable duties.
• Notify Indian Health Service for Outpatient admissions and charges.
• Submit any 1500 paper and UB paper claims to Indian Health Services.
• Assist with any payer credentialing needed.
• Submit specific electronic claims for select payers.
• Assist with any patient, clinic and hospital billing inquiries.
• Provide back up for month end processes for all Swing Bed patients.
• Maintain all dollars for petty cash, lunch tickets, jeans day and auxiliary.
• Maintain Resident, Patient, and Facility Confidentiality.
• Know and comply with Residents' Rights rules.
• Treat Residents, Patients, Visitors and Co-workers with kindness, dignity and respect at all times.
• Attend and participate in orientation, training, mandatory education, in-services, staff meetings and education courses as instructed to further improve knowledge and skills.
• Promote teamwork; encourage others to work to the best of their ability; assist with training of new co-workers, if needed.
• 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.
• Lack of absences and tardiness; request changes to schedule infrequently; give timely notice of absences; take allowed time for breaks.
• Follow company dress code.