Job Title: Medical Billing and Coding Clerk

Job Description

Job Title: Medical Billing and Coding Clerk

Reports To: Program Director

FLSA Status: Non-Exempt

Prepared By/Date: Staff/June 2017

Approved By/Date: John Burton and Cindi Parker-Pearson (June 2017)

Summary: Ensure Achievement Academy is paid for therapies rendered; responsible for the accurate flow of medical information between students, therapists and third-party payers;reconcile billings (A/P) with receivables (A/R) within appropriate time period; provide monthly AP/AR reports to management.

Essential Duties and Responsibilities

1)Responsible for all components of the billing process for Medicaid, Managed Medical Assistance (MMA), private insurance and Part C.

2)Verify medical benefits and eligibility and obtain doctor authorization for therapies.

3)Prepare and maintain medical records for all students/clients including evaluations, prescriptions, medical documentation, etc.

4)Ensure accuracy of medical information from students, therapists and third-party payers.

5)Prepare outgoing invoices via electronic means or surface mail.

6)Reconcile billings with payments received in timely manner

7)Maintain accurate list of licensing and certification deadlines for Therapists.

8)Provide monthly reports to management.

9)Ensure that all records are audit and code compliant and maintain all needed documentation.

Supervisory Responsibilities:

This job has no supervisory responsibilities.

Work Schedule:

Fulltime (35 hours per week)

Competency:

To perform the job successfully, an individual should demonstrate the following competencies:

• Interpersonal– Must maintain confidentiality; team oriented; proper social decorum is necessary as there will be frequent interactions with students, therapists, insurance carriers and third-party payers.
• Attendance/Punctuality - Is consistently at work and on time.
• Planning/Organizing - Prioritizes and plans work activities.
• Quantity - Completes work in timely manner.
• Discipline – Accurate, self-motivated and self-disciplined.
• Organization – Highly organized and efficient; strict attention to detail with coding and billing.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Required Skills:

1). Knowledge of medical coding and billing.

Education/Experience:

Minimum of a High School diploma or general education degree (GED) required, associate or bachelor’s degree in health information technology or similar areaa plus; three to four years related experiencea plus.

Math Ability:

Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals. Ability to compute rate, ratio and percent. Ability to draw and interpret bar graphs.

Reasoning Ability:

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

Computer Skills:

Knowledge of Microsoft Word and Excel required; Medical Coding/Billing software a plus.

Certificates and Licenses:

No certifications required. Certification as a Registered Health Information Technician (RHIT) a plus.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

Physical Demands:

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. The employee must occasionally lift and/or move up to 10 pounds. While performing the duties of this Job, the employee is regularly required to sit. The employee is frequently required to talk or to listen. The employee is occasionally required to stand as well as to walk and use hands to touch, handle, or feel.

Acknowledgement:

The company has reviewed this job description to ensure that essential functions and basic duties have been included. We reserve the right to change it at our sole discretion at any time and without any advance notice. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Reviewed and received by:

______

Employee Signature Date

______

Employee Name Printed

Distributed by:

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Supervisor SignatureDate