Salary: $22.09 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 statements.
• 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 assignments and makes recommendations to the appropriate personnel.
• Prepares information for the collection agency.
• Works closely with the NextGen 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); Two (2) years medical billing experience; or equivalent combination of education and experience sufficient to successfully perform the essential duties. Valid driver’s license. BLS and HIPAA Certification. Level I fingerprint clearance card and must pass a criminal background check.

Knowledge, Skills, and Abilities

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

• Knowledge of basic medical coding, third-party operating procedures, and practices.

*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 questions, please contact Human Resources at (928)526-2968.  Employer exercises EEOC, Veteran, and Indian preference in accordance with the Indian Preference Act.