Office Assistant-Billing Specialist

Position Summary:

Work activities are associated with performing office support duties of a clerical or secretarial nature.  Position performs duties of a general office nature with an emphasis on medical billing.

Essential Duties:

• Utilize an electronic filing system which requires scanning and filing on a computer network or electronic medical records system. 
• Create and maintain paper filing; locate documents for staff members; and file documents in their corresponding location. 
• Receive, sort, and distribute incoming mail; prepare outgoing mail by sorting materials.
• Daily data entry or computer work into electronic medical records system or excel spreadsheets. 
• Needs to have a thorough understanding of basic Microsoft Office operating systems. Occasional proofreading of documents include correcting spelling and grammar, and ensuring that letters and reports are accurate before sending them to clients and vendors.
• Prompt and effective communication and customer service skill.  Display common courtesy in everyday contact with employees, clients, and the public.  Provide basic, factual information to customers by phone, face-to-face, email or routine correspondence.
• Receive and secure money; complete associated transaction procedures; and process and manage billing claims
• Provide bill pay and payroll support to Office Manager
• Maintain confidentiality and follow HIPAA policies and procedures.
• Follow policies and procedures; complete administrative tasks correctly and on time; support organization’s goals and values.
• Maintain office systems and related procedures.
• Provide support to all staff members as requested.
• Assist in response to public health emergencies.
• Note:  The duties listed are not intended to be all-inclusive.  Duties assigned any individual employee are at the discretion of the appointing authority.

Specialty Duties & Responsibilities

Medical Billing Specialist

• Manages and coordinates timely performance of medical billing activities for the department
• Monitors compliance with federal billing standards and those of third-party payers
• Maintain electronic medical records system with insurance carrier billing information
• Ensure accuracy of patient insurance registration information
• Review claims within electronic medical records system for accuracy prior to electronic submission with regard to accuracy in patient info, subscriber info, coding accuracy, and insurance billing requirements
• Serve as insurance company contact person for agency, with specific knowledge of communication processes, claim processing, and agency contracts with insurance companies
• Post insurance payments, remittance advices/explanations of benefits to patient claims through electronic medical records system

Minimum Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed are representative of the knowledge, skill, and/or ability required.  Occasional weekend and/or evening hours will be required.

The job requires an associate’s degree and three or more years of insurance claim processing experience. Previous experience involving information dissemination, records organization and retention or an equivalent combination of education and experience sufficient to successfully perform the specialty duties of this job such as those listed above. A medical billing and coding certificate is recommended.

A valid driver’s license is required as there is limited travel during specific times of the year.

Work Environment:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 While performing the duties of this job, the employee should be able to do the following:

• Use a computer, telephone, fax machine, copy machine, and audio-visual equipment
• Must own a vehicle and be able to drive
• Be able to lift and move supplies up to 50 pounds
• Must be able to speak to people on a one-to-one basis and in large/small groups
• Must be able to be fitted and wear a NIOSH 95 mask
• Engage in the following movements: climbing, balancing, stooping, kneeling, crouching, reaching, standing, walking, lifting, grasping, digging, shoveling, writing, and repetitive motions

Work station will be located within Western Plains Public Health’s service area and will include a general office setting, as well as community sites including clients’ homes, restaurants, or other workplaces.

While performing the duties of this job, the employee is subject to conditions that range from inclement weather to dangerous conditions such as snow/ice, cold, heat, noise, wetness/humidity, vibration, sudden temperature changes, and poor illumination at the job site or due to travel on the job. Travel to and from field locations may subject worker to increased risk of driving hazards. Community locations may subject worker to communicable diseases, insects and other disease vectors, toxins, hazardous materials, chemicals, and animals. In all settings, employees may need to relate to members of the public who exhibit challenging, atypical, or hostile behaviors and/or communication.