Salary: $18 per hour

Job Type: Full-time (Non-Exempt)

Closing Date: Until Filled

ESSENTIAL DUTIES

• Prepares and submits timely and accurate claims to various insurance companies either electronically or by paper.
• Able to properly verify patient insurance utilizing resources as needed.
• Answers questions from patients, clerical staff, and insurance companies.
• Identifies and resolves patient billing complaints.
• Prepares, reviews, and sends patient statement.
• Evaluates patient’s financial status and establishes budget payment plans.
• Follows and reports status of delinquent accounts.
• Continuous monitoring and re-working of denied claims, including reviews of accounts receivable reports, and following up on items of concern.
• Reviews accounts for possible assignment and makes recommendations to the appropriate personnel.
• Prepares information for the collection agency.
• Works closely with the RPMS and EHR systems.
• Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to the third-party payers.
• Processes payments from insurance companies and prepares a daily deposit.
• Maintains strictest confidentiality to comply with HIPAA guidelines/regulations.
• Operates billing software to post patient account payments; send secondary claims.
• Maintain accurate files.
• Input and billing of charges in the practice management billing system.
• Patient insurance verification in practice billing system.
• Perform other duties as assigned.

Minimum Requirement

Associate Degree in Business Administration, health and/or human services, or related field, the American Academy of Professional Coders’ credential and/or Certified Professional Coder (CPC) and two (2) years medical billing experience; or equivalent combination of education and experience sufficient to successfully perform the essential duties. Valid driver’s license and submit to a background check. Class I Fingerprint Clearance, CPR, First Aid and HIPAA Certification.

Knowledge, Skills, and Abilities

• Knowledge of medical billing/collection practices.
• Knowledge of medical terminology, ICD-9, DSM-4 diagnosis, CPT and HCPCS Codes and knowledge in ICD-10.
• Knowledge of computer programs specifically RPMS and EHR billing.
• Knowledge of claim filing guidelines with Medicaid, Medicare and third-party payers.

*Must complete and submit an NACA, Inc. Employment Application, Letter of Interest, Resume and Transcripts.  Application can be obtained through website www.nacainc.org. Any question, please contact Human Resources at (928)526-2968.  Employer exercises EEOC and Indian preference in accordance with the Indian Preference Act (Title 25, US Code, Sections 44-46, 472 and 272).  If you wish to exercise Indian Preference and you are a registered member of a federally or state recognized tribe, attach copy of tribal Certificate of Indian Blood (CIB).