University Medical Center of Southern Nevada
Las Vegas, Nevada, United States
Position Summary EMPLOYER-PAID PENSION PLAN (NEVADA PERS) COMPETITIVE SALARY & BENEFITS PACKAGE As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients. We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status. THIS POSITION MAY CLOSE WITHOUT NOTICE ONCE A SUFFICIENT NUMBER OF QUALIFIED APPLICATIONS ARE RECEIVED. Bills insurance companies, governmental agencies and individual patients; to follow-up on open accounts; to resolve payment problems; and to finalize accounts. Job Requirement Education/Experience: Equivalent to high school graduation and two (2) years of hospital and/or physician clinic billing and/or follow-up experience. Licensing/Certification Requirements: None required. Additional and/or Preferred Position Requirements Customer Service : Minimum of 2 years in customer service. Working in a fast paced environment; applying effective customer service techniques; applying billing practices; monitoring and tracking payments; reviewing accounts and making corrections and adjustments; resolving problems with accounts; establishing effective payment arrangements. Experience in working with Collection Agencies, Motor Vehicle Accident Claims Knowledge and experience with billing and follow up of Third Party Liability claims. Spanish Bilingual EPIC EHR experience Cash Posting: Knowledge and experience with Cash Posting functions Experience balancing payment and adjustment batches Experience with posting 835/Electronic Payment Posting Files OR manual/hand keyed insurance payment batches Knowledge of CPT, HCPCS, and Revenue codes. Experience interpreting and reconciling EOB/remits Knowledge of remittance CAS/Remit codes Managed Care/Follow-up : Minimum of 2 years of hospital and/or physician billing experience in account follow-up. Minimum of 2 years experience in working with managed care contracts, or knowledge of. Minimum of 2 years experience in reconciliation of accounts including payments, adjustments, denials, and under pays. Minimum of 2 years experience in patient accounting software systems. Proficient in Microsoft Excel. Able to interpret manage care contracts and the ability to do discrepancy work-ups. Proficient analytical skills to resolve complex claims. Able to read explanation of benefits proficiently. Must have good communication skills. EPIC EHR experience Proficient in scanning and understand the process of follow-up, and denials and appeals Denials and Appeals: Minimum of 2 years of hospital and/or physician billing experience in account follow-up. Minimum of 2 years experience in working with managed care contracts, or knowledge of. Minimum of 2 years experience in reconciliation of accounts including payments, adjustments, denials, and under pays. Minimum of 2 years experience in patient accounting software systems. Experience with Payor Specific Appeals Minimum of 2 years experience working hospital denials Must have experience with insurance audits Proficient in Microsoft Excel. Able to interpret manage care contracts and the ability to do discrepancy work-ups. Proficient analytical skills to resolve complex claims. Able to read explanation of benefits proficiently. Must have good communication skills. EPIC EHR experience Proficient in scanning and understand the process of follow-up, and denials and appeals Knowledge, Skills, Abilities, and Physical Requirements Knowledge of: Office theories and principles; medical terminology and procedures; insurance plans, governmental agencies and other social services; legal terminology and requirements; alternative pay sources; collection principles and techniques; department and hospital safety practices and procedures; patient rights; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures. Skill in: Applying customer service techniques; applying billing practices; monitoring and tracking payments; reviewing accounts and making corrections and adjustments; resolving problems with accounts; establishing effective payment arrangements; performing basic mathematical computations; preparing legal documentation such as notices, liens and subpoenas; developing interpersonal relations with vendors, agencies and patients; using computers and related software applications; using office equipment such as phones, copiers, facsimiles and adding machines; communicating effectively with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment. Physical Requirements and Working Conditions: Mobility to work in a typical office setting and use standard office equipment; stamina to remain seated for long periods of time; vision to read printed materials and a VDT screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification. The University Medical Center of Southern Nevada offers a comprehensive & competitive benefits package: Employer Paid Pension Plan through Nevada Public Employees' Retirement System "PERS"!https://www.nvpers.org/front Vestingin the pension plan after 5 years of qualifying employment! Health/Dental/Vision Insurance - Less than $20 per paycheck for employee-only coverage Consolidated Annual Leave (CAL) - CAL is used for personal leave, holidays (eleven scheduled holidays per year), doctor appointments, vacation, and sick days up to 16 consecutive scheduled work hours (short-term sick leave), etc. Extended Illness Bank (a/k/a Sick Bank) 457 Deferred Compensation Plan Comprehensive Group Health Insurance Plan Nevada has no State Income Tax No Social Security (FICA) Deduction As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients. We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status. THE UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA IS AN AFFIRMATIVE ACTION/ EQUAL OPPORTUNITY EMPLOYER Closing Date/Time: Continuous
Mar 08, 2024
Full Time
Position Summary EMPLOYER-PAID PENSION PLAN (NEVADA PERS) COMPETITIVE SALARY & BENEFITS PACKAGE As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients. We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status. THIS POSITION MAY CLOSE WITHOUT NOTICE ONCE A SUFFICIENT NUMBER OF QUALIFIED APPLICATIONS ARE RECEIVED. Bills insurance companies, governmental agencies and individual patients; to follow-up on open accounts; to resolve payment problems; and to finalize accounts. Job Requirement Education/Experience: Equivalent to high school graduation and two (2) years of hospital and/or physician clinic billing and/or follow-up experience. Licensing/Certification Requirements: None required. Additional and/or Preferred Position Requirements Customer Service : Minimum of 2 years in customer service. Working in a fast paced environment; applying effective customer service techniques; applying billing practices; monitoring and tracking payments; reviewing accounts and making corrections and adjustments; resolving problems with accounts; establishing effective payment arrangements. Experience in working with Collection Agencies, Motor Vehicle Accident Claims Knowledge and experience with billing and follow up of Third Party Liability claims. Spanish Bilingual EPIC EHR experience Cash Posting: Knowledge and experience with Cash Posting functions Experience balancing payment and adjustment batches Experience with posting 835/Electronic Payment Posting Files OR manual/hand keyed insurance payment batches Knowledge of CPT, HCPCS, and Revenue codes. Experience interpreting and reconciling EOB/remits Knowledge of remittance CAS/Remit codes Managed Care/Follow-up : Minimum of 2 years of hospital and/or physician billing experience in account follow-up. Minimum of 2 years experience in working with managed care contracts, or knowledge of. Minimum of 2 years experience in reconciliation of accounts including payments, adjustments, denials, and under pays. Minimum of 2 years experience in patient accounting software systems. Proficient in Microsoft Excel. Able to interpret manage care contracts and the ability to do discrepancy work-ups. Proficient analytical skills to resolve complex claims. Able to read explanation of benefits proficiently. Must have good communication skills. EPIC EHR experience Proficient in scanning and understand the process of follow-up, and denials and appeals Denials and Appeals: Minimum of 2 years of hospital and/or physician billing experience in account follow-up. Minimum of 2 years experience in working with managed care contracts, or knowledge of. Minimum of 2 years experience in reconciliation of accounts including payments, adjustments, denials, and under pays. Minimum of 2 years experience in patient accounting software systems. Experience with Payor Specific Appeals Minimum of 2 years experience working hospital denials Must have experience with insurance audits Proficient in Microsoft Excel. Able to interpret manage care contracts and the ability to do discrepancy work-ups. Proficient analytical skills to resolve complex claims. Able to read explanation of benefits proficiently. Must have good communication skills. EPIC EHR experience Proficient in scanning and understand the process of follow-up, and denials and appeals Knowledge, Skills, Abilities, and Physical Requirements Knowledge of: Office theories and principles; medical terminology and procedures; insurance plans, governmental agencies and other social services; legal terminology and requirements; alternative pay sources; collection principles and techniques; department and hospital safety practices and procedures; patient rights; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures. Skill in: Applying customer service techniques; applying billing practices; monitoring and tracking payments; reviewing accounts and making corrections and adjustments; resolving problems with accounts; establishing effective payment arrangements; performing basic mathematical computations; preparing legal documentation such as notices, liens and subpoenas; developing interpersonal relations with vendors, agencies and patients; using computers and related software applications; using office equipment such as phones, copiers, facsimiles and adding machines; communicating effectively with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment. Physical Requirements and Working Conditions: Mobility to work in a typical office setting and use standard office equipment; stamina to remain seated for long periods of time; vision to read printed materials and a VDT screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification. The University Medical Center of Southern Nevada offers a comprehensive & competitive benefits package: Employer Paid Pension Plan through Nevada Public Employees' Retirement System "PERS"!https://www.nvpers.org/front Vestingin the pension plan after 5 years of qualifying employment! Health/Dental/Vision Insurance - Less than $20 per paycheck for employee-only coverage Consolidated Annual Leave (CAL) - CAL is used for personal leave, holidays (eleven scheduled holidays per year), doctor appointments, vacation, and sick days up to 16 consecutive scheduled work hours (short-term sick leave), etc. Extended Illness Bank (a/k/a Sick Bank) 457 Deferred Compensation Plan Comprehensive Group Health Insurance Plan Nevada has no State Income Tax No Social Security (FICA) Deduction As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients. We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status. THE UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA IS AN AFFIRMATIVE ACTION/ EQUAL OPPORTUNITY EMPLOYER Closing Date/Time: Continuous
Minimum Qualifications Education and/or Equivalent Experience: Graduation from an accredited high school or equivalent, plus two (2) years of experience with medical terminology, medical insurance, and medical billing and coding principles and practices. Licenses and Certifications Required: None. Notes to Applicants Position Overview: Under the direction of the Revenue Cycle Manager, the Ambulance Billing and Coding Representative I will perform a wide variety of billing and coding duties such as answer calls from the public on a multiple phone line system, review claim denials, recommend process improvements to eliminate future denials, work with insurance carriers to ensure maximum reimbursement, and resolve patient inquiries. The Ambulance Billing and Coding Representative I will also verify patient demographic and validate/determine insurance eligibility and source of payment through payer and patient correspondence. The person in this role will work in a challenging, fast paced environment while meeting deadlines. Additionally, this role will require attention to detail and the ability to prioritize independently. About EMS : The Emergency Medical Services department is responsible for managing critical time-sensitive life-threatening emergencies. While most of the assistance EMS gives to the community is medical in nature, everything we do is about service: service to our patients, their families and loved ones; service to our community; and service to the people who make up Austin-Travis County Emergency Medical Services. Why work for the City of Austin? The City of Austin provides generous benefits including medical, retirement plans, paid time off, as well as hybrid work schedules for eligible positions. Joining our team means you will have access to a network of 17,000+ City of Austin employees and the opportunities for training and professional growth are many! Regarding your Application: A detailed, complete City of Austin employment application is required to evaluate your qualifications and, if selected as a top candidate for the position, will be used when determining salary. Statements like “see resume” will not count when determining experience. Please be thorough in completing the employment application and list all experience that is relevant to this position. The application and resume must include dates (month and year) for each job history entry. In addition, the resume information must match the information on the application. Please describe your specific experience as it relates to the minimum and preferred qualifications when responding to the supplemental questions on the application. The responses to the supplemental questions should reference the employment history listed in the employment history section. Incomplete applications will not be considered. EMS reserves the right to close posted positions prior to the advertised close date, based on recruitment strategies and business needs. VETERANS : Veterans, we thank you for your service and welcome your application. If you are selected as the top candidate for the position you will be required to provide your DD214. Are you already a COA employee? Employees in Good Standing, who are candidates within the Department or division that the Position resides in, and who meet the minimum and preferred qualifications for the position will be included in the initial interview. ATCEMS employee must remain in Good Standing through the Top Candidate Selection phase at which time the Good Standing status will be re-verified. LANGUAGE : Must have the ability to read, write, and fluently speak English. Pay Range $21.18 - $23.56 Hours Monday - Friday 7:30AM-4:30PM Job Close Date 04/03/2024 Type of Posting External Department Emergency Medical Services Regular/Temporary Regular Grant Funded or Pooled Position Not Applicable Category Clerical Location 15 Waller St. Austin, TX 78702 Preferred Qualifications Knowledge of current insurance (Medicare, Medicaid, private insurance, Worker’s compensation) to ensure coverage and proper reimbursement. Experience reviewing claim denials and working with insurance carriers to resolve denials. Knowledge of medical billing software and electronic medical billing. Experience with customer service in an inbound call center environment. Duties, Functions and Responsibilities Essential duties and functions, pursuant to the Americans with Disabilities Act, may include the following. Other related duties may be assigned. Receives and answers customer service inquiries, requests, and complaints from the public related to ambulance billing. Responds verbally and in writing while complying with HIPAA , other public record laws, and confidentiality. Investigates and gathers information on accounts using a wide variety of resources within the scope of Local, State and Federal laws. Daily contact with confidential medical and credit information requiring knowledge and compliance with laws related to the custody, security, and release of this information. Reviews pre-hospital care reports for completeness and accuracy of information for billing. Researches and enters patient, financial, diagnostic, and statistical information into billing system. Determines order of primary, secondary, or other responsible parties for ambulance fee charges and bills appropriately following Medicare or Medicaid rules. Determines appropriate level of care and medical necessity to assign proper diagnosis codes, and charges based on patient care documentation as defined by Centers for Medicare and Medicaid Services ( CMS ) guidelines. Electronically submits healthcare-related forms to payers in accordance with filing deadlines. Prints, reviews, and mails billing statements for claims, and follows up to expedite payment in a timely manner. Collects cash and electronic payments. Posts and balances payments on ambulance accounts. Processes refunds and write-offs for management approval. Receives and processes rejected or denied claims and initiates appeal process. Works aging reports to optimize cash flow. Corresponds verbally and in writing with patients, third-party payers, and insurance carriers on claim denials and past due accounts for resolution of payment issues. Responsibilities- Supervision and/or Leadership Exercised: None. Knowledge, Skills and Abilities Must possess required knowledge, skills, abilities, and experience and be able to explain and demonstrate, with or without reasonable accommodations, that the essential functions of the job can be performed. Knowledge of medical, insurance, and healthcare terminology. Knowledge of medical terminology and general anatomy. Knowledge of Local, State, and Federal laws, including HIPAA , Medicare, Medicaid, and other public health plans. Knowledge of accounting and bookkeeping practices and concepts, as well as cash handling and account collection procedures and practices. Skill in medical coding. Skill in insurance verification. Skill in establishing and maintaining good working relationships to internal and external customers. Skill in using computers and related software applications, multiple line phone systems, credit card machines, and online credit card payment systems. Skill in handling multiple tasks and prioritizing. Skill in data analysis and problem solving. Skill in effective oral and written communication. Skill in reviewing (proofreading) material to ensure accuracy, completeness, and adherence to established formats. Skill in interpreting and analyzing applicable data. Ability to provide exceptional customer service. Ability to understand and communicate technical information. Ability to exercise discretion in confidential matters. Ability to establish and maintain effective working relationships with City employees and the public. Ability to work under pressure with frequent interruptions and changes in priorities. Ability to manage conflicts and concerns and work with difficult customers. Criminal Background Investigation This position has been approved for a Criminal Background Investigation. EEO/ADA The City of Austin is committed to compliance with the Americans with Disabilities Act. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please call (512) 974-3210 or Texas Relay by dialing 7-1-1. The City of Austin will not discriminate against any applicant or employee based on race, creed, color, national origin, sex, gender identity, age, religion, veteran status, disability, or sexual orientation. In addition, the City will not discriminate in employment decisions on the basis of an individual’s AIDS , AIDS Related Complex, or HIV status; nor will the City discriminate against individuals who are perceived to be at risk of HIV infection, or who associate with individuals who are believed to be at risk. Information For City Employees: If you are an employee within the department, are in good standing and meet both the minimum and preferred qualifications, then you will receive an initial interview. Supplemental Questions Required fields are indicated with an asterisk (*). * This position requires a graduation from an accredited high school or equivalent, plus two (2) years of experience with medical terminology, medical insurance, and medical billing and coding principles and practices. Do you meet the minimum qualifications for this position? Yes No * This position requires a criminal background investigation (CBI). By selecting the following, you are acknowledging that you understand if you are selected as a top candidate for this position, you will need a successful CBI to be hired. I acknowledge and understand this position requires a Criminal Background Investigation. * Please describe your experience reviewing claim denials and working with insurance carriers to resolve denials. (Open Ended Question) * Do you have experience with customer service in an inbound call center environment? If yes, please be sure this experience is noted within your application. Yes No * Please list all medical billing software and electronic medical billing systems you have used in your current or previous employment. Please include the number of years you have worked with these systems and for which employer. (Open Ended Question) * Please explain your knowledge of current insurance (Medicare, Medicaid, private insurance, Worker's Compensation) to ensure coverage and proper reimbursement. (Open Ended Question) Optional & Required Documents Required Documents Cover Letter Resume Optional Documents
Mar 21, 2024
Full Time
Minimum Qualifications Education and/or Equivalent Experience: Graduation from an accredited high school or equivalent, plus two (2) years of experience with medical terminology, medical insurance, and medical billing and coding principles and practices. Licenses and Certifications Required: None. Notes to Applicants Position Overview: Under the direction of the Revenue Cycle Manager, the Ambulance Billing and Coding Representative I will perform a wide variety of billing and coding duties such as answer calls from the public on a multiple phone line system, review claim denials, recommend process improvements to eliminate future denials, work with insurance carriers to ensure maximum reimbursement, and resolve patient inquiries. The Ambulance Billing and Coding Representative I will also verify patient demographic and validate/determine insurance eligibility and source of payment through payer and patient correspondence. The person in this role will work in a challenging, fast paced environment while meeting deadlines. Additionally, this role will require attention to detail and the ability to prioritize independently. About EMS : The Emergency Medical Services department is responsible for managing critical time-sensitive life-threatening emergencies. While most of the assistance EMS gives to the community is medical in nature, everything we do is about service: service to our patients, their families and loved ones; service to our community; and service to the people who make up Austin-Travis County Emergency Medical Services. Why work for the City of Austin? The City of Austin provides generous benefits including medical, retirement plans, paid time off, as well as hybrid work schedules for eligible positions. Joining our team means you will have access to a network of 17,000+ City of Austin employees and the opportunities for training and professional growth are many! Regarding your Application: A detailed, complete City of Austin employment application is required to evaluate your qualifications and, if selected as a top candidate for the position, will be used when determining salary. Statements like “see resume” will not count when determining experience. Please be thorough in completing the employment application and list all experience that is relevant to this position. The application and resume must include dates (month and year) for each job history entry. In addition, the resume information must match the information on the application. Please describe your specific experience as it relates to the minimum and preferred qualifications when responding to the supplemental questions on the application. The responses to the supplemental questions should reference the employment history listed in the employment history section. Incomplete applications will not be considered. EMS reserves the right to close posted positions prior to the advertised close date, based on recruitment strategies and business needs. VETERANS : Veterans, we thank you for your service and welcome your application. If you are selected as the top candidate for the position you will be required to provide your DD214. Are you already a COA employee? Employees in Good Standing, who are candidates within the Department or division that the Position resides in, and who meet the minimum and preferred qualifications for the position will be included in the initial interview. ATCEMS employee must remain in Good Standing through the Top Candidate Selection phase at which time the Good Standing status will be re-verified. LANGUAGE : Must have the ability to read, write, and fluently speak English. Pay Range $21.18 - $23.56 Hours Monday - Friday 7:30AM-4:30PM Job Close Date 04/03/2024 Type of Posting External Department Emergency Medical Services Regular/Temporary Regular Grant Funded or Pooled Position Not Applicable Category Clerical Location 15 Waller St. Austin, TX 78702 Preferred Qualifications Knowledge of current insurance (Medicare, Medicaid, private insurance, Worker’s compensation) to ensure coverage and proper reimbursement. Experience reviewing claim denials and working with insurance carriers to resolve denials. Knowledge of medical billing software and electronic medical billing. Experience with customer service in an inbound call center environment. Duties, Functions and Responsibilities Essential duties and functions, pursuant to the Americans with Disabilities Act, may include the following. Other related duties may be assigned. Receives and answers customer service inquiries, requests, and complaints from the public related to ambulance billing. Responds verbally and in writing while complying with HIPAA , other public record laws, and confidentiality. Investigates and gathers information on accounts using a wide variety of resources within the scope of Local, State and Federal laws. Daily contact with confidential medical and credit information requiring knowledge and compliance with laws related to the custody, security, and release of this information. Reviews pre-hospital care reports for completeness and accuracy of information for billing. Researches and enters patient, financial, diagnostic, and statistical information into billing system. Determines order of primary, secondary, or other responsible parties for ambulance fee charges and bills appropriately following Medicare or Medicaid rules. Determines appropriate level of care and medical necessity to assign proper diagnosis codes, and charges based on patient care documentation as defined by Centers for Medicare and Medicaid Services ( CMS ) guidelines. Electronically submits healthcare-related forms to payers in accordance with filing deadlines. Prints, reviews, and mails billing statements for claims, and follows up to expedite payment in a timely manner. Collects cash and electronic payments. Posts and balances payments on ambulance accounts. Processes refunds and write-offs for management approval. Receives and processes rejected or denied claims and initiates appeal process. Works aging reports to optimize cash flow. Corresponds verbally and in writing with patients, third-party payers, and insurance carriers on claim denials and past due accounts for resolution of payment issues. Responsibilities- Supervision and/or Leadership Exercised: None. Knowledge, Skills and Abilities Must possess required knowledge, skills, abilities, and experience and be able to explain and demonstrate, with or without reasonable accommodations, that the essential functions of the job can be performed. Knowledge of medical, insurance, and healthcare terminology. Knowledge of medical terminology and general anatomy. Knowledge of Local, State, and Federal laws, including HIPAA , Medicare, Medicaid, and other public health plans. Knowledge of accounting and bookkeeping practices and concepts, as well as cash handling and account collection procedures and practices. Skill in medical coding. Skill in insurance verification. Skill in establishing and maintaining good working relationships to internal and external customers. Skill in using computers and related software applications, multiple line phone systems, credit card machines, and online credit card payment systems. Skill in handling multiple tasks and prioritizing. Skill in data analysis and problem solving. Skill in effective oral and written communication. Skill in reviewing (proofreading) material to ensure accuracy, completeness, and adherence to established formats. Skill in interpreting and analyzing applicable data. Ability to provide exceptional customer service. Ability to understand and communicate technical information. Ability to exercise discretion in confidential matters. Ability to establish and maintain effective working relationships with City employees and the public. Ability to work under pressure with frequent interruptions and changes in priorities. Ability to manage conflicts and concerns and work with difficult customers. Criminal Background Investigation This position has been approved for a Criminal Background Investigation. EEO/ADA The City of Austin is committed to compliance with the Americans with Disabilities Act. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please call (512) 974-3210 or Texas Relay by dialing 7-1-1. The City of Austin will not discriminate against any applicant or employee based on race, creed, color, national origin, sex, gender identity, age, religion, veteran status, disability, or sexual orientation. In addition, the City will not discriminate in employment decisions on the basis of an individual’s AIDS , AIDS Related Complex, or HIV status; nor will the City discriminate against individuals who are perceived to be at risk of HIV infection, or who associate with individuals who are believed to be at risk. Information For City Employees: If you are an employee within the department, are in good standing and meet both the minimum and preferred qualifications, then you will receive an initial interview. Supplemental Questions Required fields are indicated with an asterisk (*). * This position requires a graduation from an accredited high school or equivalent, plus two (2) years of experience with medical terminology, medical insurance, and medical billing and coding principles and practices. Do you meet the minimum qualifications for this position? Yes No * This position requires a criminal background investigation (CBI). By selecting the following, you are acknowledging that you understand if you are selected as a top candidate for this position, you will need a successful CBI to be hired. I acknowledge and understand this position requires a Criminal Background Investigation. * Please describe your experience reviewing claim denials and working with insurance carriers to resolve denials. (Open Ended Question) * Do you have experience with customer service in an inbound call center environment? If yes, please be sure this experience is noted within your application. Yes No * Please list all medical billing software and electronic medical billing systems you have used in your current or previous employment. Please include the number of years you have worked with these systems and for which employer. (Open Ended Question) * Please explain your knowledge of current insurance (Medicare, Medicaid, private insurance, Worker's Compensation) to ensure coverage and proper reimbursement. (Open Ended Question) Optional & Required Documents Required Documents Cover Letter Resume Optional Documents
CALAVERAS COUNTY, CA
San Andreas, California, United States
Position Description Medical Billing Specialist I: $19.95 - $24.27 Medical Billing Specialist II: $22.96 - $27.92 Under general direction, to perform specialized clerical work in connection with processing and billing fiscal intermediaries for medical services rendered to patients; and to do other work as required for Behavioral Health Services. DISTINGUISHING CHARACTERISTICS: Medical Billing Specialist I This is an entry-level classification in the Medical Billing Specialist series; incumbents will be expected to perform more routine duties while gaining additional experience and familiarity with departmental policies and procedures. This position is responsible for working with medical billing documents, reviewing and verifying insurance accounts against third party billing program provision and procedures. Incumbents in this class are expected to solve routine problems without assistance while unusual problems are referred to a supervisor. Medical Billing Specialist II This is the Journey-level classification in the Medical Billing Specialist series; Incumbents will be expected to perform more technical duties related to medical billing functions. This position is responsible for working with medical billing documents, reviewing and verifying insurance accounts against third party billing program provision and procedures; interpreting policies, rules, or regulations on billing related matters and/or assisting in the coordination of procedures among various patient accounts systems. Incumbents in this class are expected to solve routine as well as highly complex problems without assistance. Example of Duties Medical Billing Specialist I Check and correct bills and accounts for numerical accuracy and proper coding, and prepare paperwork for data entry. Input service claims into Electronic Health Record billing system. Verify billing account or insurance forms for completeness and accuracy against a variety of automated and manual records. Review patient accounts to determine the accuracy of account information and make any required adjustments for proper billing purposes. Review monthly paid, denied and rejected claims for Medi-Cal and third party insurance companies. Process denied claims through Electronic Rebill System if applicable for reimbursement. Prepare self-pay bills; close charges for pay client accounts; review bills for accuracy. Post payments received from various funding sources. Process explanation of benefits when additional information from payer sources is requested. Assist department in training, implementing and complying with federal electronic health mandates. Update client data including admission/discharge, CSI reporting, diagnosis, and financial eligibility. Track and reconcile daily time studies for department staff and contract workers. Act as resource or subject matter expert for Electronic Health Record system. Submit data on Behavioral Health Information Systems (BHIS); prepare and transmit Medi-Cal Electronic Billing submittals to Department of Healthcare Services through the BHIS. Prepare HCFA billing to third-party insurances, including Medicare. Medical Billing Specialist II In addition to above: Investigate and reconcile denials from private insurance. Investigate and reconcile denials from Medicare Process Medi-Cal denials. Process Medi-Cal provider certifications. Works independently with third party Electronics Health Record personnel. Independently Submits data on BHIS; prepare and transmit Medi-Cal Electronic Billing submittals to Department of Mental Health through the BHIS. Independently processes the medical disallowances and voids and replaces claims. Interviews clients to set up financial payment plans. Handles work of a complex nature related to medical billing. Prepares and presents reports related to claims. Assumes responsibility for ensuring that internal controls are applied to medical billing activities per departmental policies. Provides training to staff regarding the Electronic Health Record and Specialty Mental Health and Substance Abuse Billing Identifies procedural needs and drafts policies Minimum Qualifications Knowledge of: Medical Billing Specialist I Basic methods, practices, and terminology of fiscal clerical work including basic billing methods, procedures, and techniques; basic clerical auditing and verification techniques; medical terminology, and billing forms. Medical Billing Specialist II Advanced methods, practices, and terminology of fiscal clerical work including advanced billing methods, procedures, and techniques; general clerical auditing and verification techniques; computerized accounting and medical billing systems, medical terminology, and billing forms. Ability to: Medical Billing Specialist I Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying routine billing errors and differentiate between appropriate applications of various billing methods; perform basic arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions. Medical Billing Specialist II Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying complex billing errors and differentiate between appropriate applications of various billing methods; perform advanced arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions; identify and respond to procedural and policy development requirements. TRAINING AND EXPERIENCE: Medical Billing Specialist I Equivalent to graduation from high school and two years’ experience performing financial, statistical, or fiscal record keeping functions with at least one year involving third party intermediary medical billing. Medical Billing Specialist II Equivalent to graduation from high school and three years’ experience performing financial, statistical, or fiscal record keeping functions with at least one year involving third party intermediary medical billing. Special Requirements Possession of an appropriate California operator’s license issued by the State Department of Motor Vehicles may be required. Bargaining Unit 7 - Service Employees International Union Local 1021 For available Health/Dental/Vision insurance please visit the County BENEFITS WEBPAGE. Please note that Extra-hire positions that are benefitted, are only offered our CORE medical plan and are not offered dental or vision. NEW * Assist-To-Own program to help Couny employees purchase a home. Program Highlights: Down Payment Assistance, up to 5.5% of the Total Mortgage Loan. Available with purchase of a primary residence. Variety of Mortgage Loan options (FHA, VA, USDA and Conventional Mortgage Loans). No first-time homebuyer requirement to qualify. Flexible guidelines: Minimum FICO 640; Maximum DTI 50%. Flexible income limits, up to moderate income levels; no income limits for FHA and VA. For more information, vists Calaveras County Assist-to-Own Boot Allowance: $150 per year and is distributed once a year, in the first full pay period in the month of December. Qualifying Classifications: Registered EH Specialists, EH Techs, OSS Engineers, Fleet Manager, Junior Engineer, Mechanic series, Sheriff's Mechanic, Public Works Inspector, Road Maintenance Worker series, Integrated Waste Worker series, AG Techs, and AG Biologists, and Recycling Program Coordinator I/II, Permit Tech I/II, Engineering Tech I/II assigned to the Rock Creek Landfill facility, and Air Pollution Control Tech. Uniform Allowance: $600 per calendar year split into monthly payments.Payments will be made monthly on the second pay check. Qualifying classifications : Custodian series, facility maintenance worker series, facilities maintenance engineer. Extra-Hire: Extra-hire employees are not eligible for step advances, vacation, seniority rights, holiday pay or other certain employee benefits. They are entitled to 24 hours of sick leave per year and eligilbe for the county's CORE Medical plan but not eligible for dental or vision insurance. Vacation days: 0 - 3 complete years = 80 hours per year. After 6 months you can take your first week. 3 - 10 complete years = 120 hours per year 10 years+ = 160 per year Holidays :13 paid holidays per year. Life Insurance: $50,000.00 County paid Sick Leave: 12 days annual sick leave accrual with unlimited accumulation. Sick leave is accrued at 3.69 hours for each full 80 hours of payroll period. 60 hours of sick leave can be used for immediate family, parent spouse, child or sibling. Merit: After successfully completing twenty-six (26) pay periods, a 5% merit increase may be granted.Merit increases may be granted annually thereafter to the top step. Probation Period: New employees remain in a probationary status for 26 pay periods.. Longevity Incentives @ 2.5% for each of the following: 5.5 years (if hired before March 28, 2005) 6 years 10 years 15 years 20 years 25 years Bi-Lingual pay :$75 per month for specific approved job classifications. Flexible Spending: Pre-Tax Medical Reimbursement - Max contribution of $2,500 annually Flexible Spending: Pre-Tax Dependent Care Account - Max contribution of $5,000 annually Section 125 Plan :Additional insurance is available through the Section 125 plan and may be purchased from a representative during open enrollment or by appointment when they are on-site. AFLAC Heart & Stroke Insurance Cancer Insurance Accident Insurance Universal Life Insurance Short Term Disability Insurance ?LEGALSHIELD CALPERS RETIREMENT INFORMATION: CalPERS: CLASSIC MEMBERS: 2% at 55 PEPRA MEMBERS: 2% at 62 Extra-Hire's will be enrolled into Public Agency Retirement System (PARS) unless you are already a member of CalPERS. Additional Retirement Plan: The County offers a 457 Government plan. Employees can contribute u to this deferred compensation plan ( Pre or Post Tax options ).The County utilizes VALIC. Participating employees will receive a County paid match of up to $50 a month. Closing Date/Time: Continuous
Mar 08, 2024
Full Time
Position Description Medical Billing Specialist I: $19.95 - $24.27 Medical Billing Specialist II: $22.96 - $27.92 Under general direction, to perform specialized clerical work in connection with processing and billing fiscal intermediaries for medical services rendered to patients; and to do other work as required for Behavioral Health Services. DISTINGUISHING CHARACTERISTICS: Medical Billing Specialist I This is an entry-level classification in the Medical Billing Specialist series; incumbents will be expected to perform more routine duties while gaining additional experience and familiarity with departmental policies and procedures. This position is responsible for working with medical billing documents, reviewing and verifying insurance accounts against third party billing program provision and procedures. Incumbents in this class are expected to solve routine problems without assistance while unusual problems are referred to a supervisor. Medical Billing Specialist II This is the Journey-level classification in the Medical Billing Specialist series; Incumbents will be expected to perform more technical duties related to medical billing functions. This position is responsible for working with medical billing documents, reviewing and verifying insurance accounts against third party billing program provision and procedures; interpreting policies, rules, or regulations on billing related matters and/or assisting in the coordination of procedures among various patient accounts systems. Incumbents in this class are expected to solve routine as well as highly complex problems without assistance. Example of Duties Medical Billing Specialist I Check and correct bills and accounts for numerical accuracy and proper coding, and prepare paperwork for data entry. Input service claims into Electronic Health Record billing system. Verify billing account or insurance forms for completeness and accuracy against a variety of automated and manual records. Review patient accounts to determine the accuracy of account information and make any required adjustments for proper billing purposes. Review monthly paid, denied and rejected claims for Medi-Cal and third party insurance companies. Process denied claims through Electronic Rebill System if applicable for reimbursement. Prepare self-pay bills; close charges for pay client accounts; review bills for accuracy. Post payments received from various funding sources. Process explanation of benefits when additional information from payer sources is requested. Assist department in training, implementing and complying with federal electronic health mandates. Update client data including admission/discharge, CSI reporting, diagnosis, and financial eligibility. Track and reconcile daily time studies for department staff and contract workers. Act as resource or subject matter expert for Electronic Health Record system. Submit data on Behavioral Health Information Systems (BHIS); prepare and transmit Medi-Cal Electronic Billing submittals to Department of Healthcare Services through the BHIS. Prepare HCFA billing to third-party insurances, including Medicare. Medical Billing Specialist II In addition to above: Investigate and reconcile denials from private insurance. Investigate and reconcile denials from Medicare Process Medi-Cal denials. Process Medi-Cal provider certifications. Works independently with third party Electronics Health Record personnel. Independently Submits data on BHIS; prepare and transmit Medi-Cal Electronic Billing submittals to Department of Mental Health through the BHIS. Independently processes the medical disallowances and voids and replaces claims. Interviews clients to set up financial payment plans. Handles work of a complex nature related to medical billing. Prepares and presents reports related to claims. Assumes responsibility for ensuring that internal controls are applied to medical billing activities per departmental policies. Provides training to staff regarding the Electronic Health Record and Specialty Mental Health and Substance Abuse Billing Identifies procedural needs and drafts policies Minimum Qualifications Knowledge of: Medical Billing Specialist I Basic methods, practices, and terminology of fiscal clerical work including basic billing methods, procedures, and techniques; basic clerical auditing and verification techniques; medical terminology, and billing forms. Medical Billing Specialist II Advanced methods, practices, and terminology of fiscal clerical work including advanced billing methods, procedures, and techniques; general clerical auditing and verification techniques; computerized accounting and medical billing systems, medical terminology, and billing forms. Ability to: Medical Billing Specialist I Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying routine billing errors and differentiate between appropriate applications of various billing methods; perform basic arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions. Medical Billing Specialist II Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying complex billing errors and differentiate between appropriate applications of various billing methods; perform advanced arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions; identify and respond to procedural and policy development requirements. TRAINING AND EXPERIENCE: Medical Billing Specialist I Equivalent to graduation from high school and two years’ experience performing financial, statistical, or fiscal record keeping functions with at least one year involving third party intermediary medical billing. Medical Billing Specialist II Equivalent to graduation from high school and three years’ experience performing financial, statistical, or fiscal record keeping functions with at least one year involving third party intermediary medical billing. Special Requirements Possession of an appropriate California operator’s license issued by the State Department of Motor Vehicles may be required. Bargaining Unit 7 - Service Employees International Union Local 1021 For available Health/Dental/Vision insurance please visit the County BENEFITS WEBPAGE. Please note that Extra-hire positions that are benefitted, are only offered our CORE medical plan and are not offered dental or vision. NEW * Assist-To-Own program to help Couny employees purchase a home. Program Highlights: Down Payment Assistance, up to 5.5% of the Total Mortgage Loan. Available with purchase of a primary residence. Variety of Mortgage Loan options (FHA, VA, USDA and Conventional Mortgage Loans). No first-time homebuyer requirement to qualify. Flexible guidelines: Minimum FICO 640; Maximum DTI 50%. Flexible income limits, up to moderate income levels; no income limits for FHA and VA. For more information, vists Calaveras County Assist-to-Own Boot Allowance: $150 per year and is distributed once a year, in the first full pay period in the month of December. Qualifying Classifications: Registered EH Specialists, EH Techs, OSS Engineers, Fleet Manager, Junior Engineer, Mechanic series, Sheriff's Mechanic, Public Works Inspector, Road Maintenance Worker series, Integrated Waste Worker series, AG Techs, and AG Biologists, and Recycling Program Coordinator I/II, Permit Tech I/II, Engineering Tech I/II assigned to the Rock Creek Landfill facility, and Air Pollution Control Tech. Uniform Allowance: $600 per calendar year split into monthly payments.Payments will be made monthly on the second pay check. Qualifying classifications : Custodian series, facility maintenance worker series, facilities maintenance engineer. Extra-Hire: Extra-hire employees are not eligible for step advances, vacation, seniority rights, holiday pay or other certain employee benefits. They are entitled to 24 hours of sick leave per year and eligilbe for the county's CORE Medical plan but not eligible for dental or vision insurance. Vacation days: 0 - 3 complete years = 80 hours per year. After 6 months you can take your first week. 3 - 10 complete years = 120 hours per year 10 years+ = 160 per year Holidays :13 paid holidays per year. Life Insurance: $50,000.00 County paid Sick Leave: 12 days annual sick leave accrual with unlimited accumulation. Sick leave is accrued at 3.69 hours for each full 80 hours of payroll period. 60 hours of sick leave can be used for immediate family, parent spouse, child or sibling. Merit: After successfully completing twenty-six (26) pay periods, a 5% merit increase may be granted.Merit increases may be granted annually thereafter to the top step. Probation Period: New employees remain in a probationary status for 26 pay periods.. Longevity Incentives @ 2.5% for each of the following: 5.5 years (if hired before March 28, 2005) 6 years 10 years 15 years 20 years 25 years Bi-Lingual pay :$75 per month for specific approved job classifications. Flexible Spending: Pre-Tax Medical Reimbursement - Max contribution of $2,500 annually Flexible Spending: Pre-Tax Dependent Care Account - Max contribution of $5,000 annually Section 125 Plan :Additional insurance is available through the Section 125 plan and may be purchased from a representative during open enrollment or by appointment when they are on-site. AFLAC Heart & Stroke Insurance Cancer Insurance Accident Insurance Universal Life Insurance Short Term Disability Insurance ?LEGALSHIELD CALPERS RETIREMENT INFORMATION: CalPERS: CLASSIC MEMBERS: 2% at 55 PEPRA MEMBERS: 2% at 62 Extra-Hire's will be enrolled into Public Agency Retirement System (PARS) unless you are already a member of CalPERS. Additional Retirement Plan: The County offers a 457 Government plan. Employees can contribute u to this deferred compensation plan ( Pre or Post Tax options ).The County utilizes VALIC. Participating employees will receive a County paid match of up to $50 a month. Closing Date/Time: Continuous
Minimum Qualifications Education and/or Equivalent Experience: Graduation from an accredited high school or equivalent, plus two (2) years of experience with medical terminology, medical insurance, and medical billing and coding principles and practices. Licenses or Certifications: None. Notes to Applicants Position Overview: Under the direct supervision of the Revenue Cycle Manager, the Ambulance Billing and Coding Representative I will perform a wide variety of billing and coding duties such as review ambulance trip reports to determine medical necessity, assign appropriate level of care as defined by CMS , assign proper coding to accurately report the patient’s condition and medical necessity. The Ambulance Billing and Coding Rep will also verify patient demographics and determine/validate insurance eligibility and primary source of payment. The person in this role will work in a challenging, fast paced environment while meeting deadlines. Additionally, this role will require attention to detail and the ability to prioritize independently. About EMS : The Emergency Medical Services department is responsible for managing critical time-sensitive life-threatening emergencies. While most of the assistance EMS gives to the community is medical in nature, everything we do is about service: service to our patients, their families and loved ones; service to our community; and service to the people who make up Austin-Travis County Emergency Medical Services. Why work for the City of Austin? The City of Austin provides generous benefits including medical, retirement plans, paid time off, as well as hybrid work schedules for eligible positions. Joining our team means you will have access to a network of 17,000+ City of Austin employees and the opportunities for training and professional growth are many! Regarding your Application: A detailed, complete City of Austin employment application is required to evaluate your qualifications and, if selected as a top candidate for the position, will be used when determining salary. Statements like “see resume” will not count when determining experience. Please be thorough in completing the employment application and list all experience that is relevant to this position. The application and resume must include dates (month and year) for each job history entry. In addition, the resume information must match the information on the application. Please describe your specific experience as it relates to the minimum and preferred qualifications when responding to the supplemental questions on the application. The responses to the supplemental questions should reference the employment history listed in the employment history section. Incomplete applications will not be considered. EMS reserves the right to close posted positions prior to the advertised close date, based on recruitment strategies and business needs. VETERANS : Veterans, we thank you for your service and welcome your application. If you are selected as the top candidate for the position you will be required to provide your DD214. Are you already a COA employee? Employees in Good Standing, who are candidates within the Department or division that the Position resides in, and who meet the minimum and preferred qualifications for the position will be included in the initial interview. ATCEMS employee must remain in Good Standing through the Top Candidate Selection phase at which time the Good Standing status will be re-verified. Assessments: An assessment will be required prior to interviews for those applicants selected to move in the hiring process. LANGUAGE : Must have the ability to read, write, and fluently speak English. Pay Range $21.18 - $23.56 per hour Hours 7:30 a.m. - 4:30 p.m. Monday - Friday Job Close Date 04/03/2024 Type of Posting External Department Emergency Medical Services Regular/Temporary Regular Grant Funded or Pooled Position Not Applicable Category Clerical Location 15 Waller St Preferred Qualifications Preferred Experience: Experience applying ICD -10 codes. Experience with medical terminology. Experience with medical billing and coding in a hospital, doctor’s office, or ambulance provider setting. Knowledge of current insurance (Medicare, Medicaid, private insurance, Worker’s Compensation) to ensure coverage and proper reimbursement. Duties, Functions and Responsibilities Essential duties and functions, pursuant to the Americans with Disabilities Act, may include the following. Other related duties may be assigned. Receives and answers customer service inquiries, requests, and complaints from the public related to ambulance billing. Responds verbally and in writing while complying with HIPAA , other public record laws, and confidentiality. Investigates and gathers information on accounts using a wide variety of resources within the scope of Local, State and Federal laws. Daily contact with confidential medical and credit information requiring knowledge and compliance with laws related to the custody, security, and release of this information. Reviews pre-hospital care reports for completeness and accuracy of information for billing. Researches and enters patient, financial, diagnostic, and statistical information into billing system. Determines order of primary, secondary, or other responsible parties for ambulance fee charges and bills appropriately following Medicare or Medicaid rules. Determines appropriate level of care and medical necessity to assign proper diagnosis codes, and charges based on patient care documentation as defined by Centers for Medicare and Medicaid Services ( CMS ) guidelines. Electronically submits healthcare-related forms to payers in accordance with filing deadlines. Prints, reviews, and mails billing statements for claims, and follows up to expedite payment in a timely manner. Collects cash and electronic payments. Posts and balances payments on ambulance accounts. Processes refunds and write-offs for management approval. Receives and processes rejected or denied claims and initiates appeal process. Works aging reports to optimize cash flow. Corresponds verbally and in writing with patients, third-party payers, and insurance carriers on claim denials and past due accounts for resolution of payment issues. Responsibilities - Supervision and/or Leadership Exercised: None. Knowledge, Skills and Abilities Must possess required knowledge, skills, abilities, and experience and be able to explain and demonstrate, with or without reasonable accommodations, that the essential functions of the job can be performed. Knowledge of medical, insurance, and healthcare terminology. Knowledge of medical terminology and general anatomy. Knowledge of Local, State, and Federal laws, including HIPAA , Medicare, Medicaid, and other public health plans. Knowledge of accounting and bookkeeping practices and concepts, as well as cash handling and account collection procedures and practices. Skill in medical coding. Skill in insurance verification. Skill in establishing and maintaining good working relationships to internal and external customers. Skill in using computers and related software applications, multiple line phone systems, credit card machines, and online credit card payment systems. Skill in handling multiple tasks and prioritizing. Skill in data analysis and problem solving. Skill in effective oral and written communication. Skill in reviewing (proofreading) material to ensure accuracy, completeness, and adherence to established formats. Skill in interpreting and analyzing applicable data. Ability to provide exceptional customer service. Ability to understand and communicate technical information. Ability to exercise discretion in confidential matters. Ability to establish and maintain effective working relationships with City employees and the public. Ability to work under pressure with frequent interruptions and changes in priorities. Ability to manage conflicts and concerns and work with difficult customers. Criminal Background Investigation This position has been approved for a Criminal Background Investigation. EEO/ADA The City of Austin is committed to compliance with the Americans with Disabilities Act. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please call (512) 974-3210 or Texas Relay by dialing 7-1-1. The City of Austin will not discriminate against any applicant or employee based on race, creed, color, national origin, sex, gender identity, age, religion, veteran status, disability, or sexual orientation. In addition, the City will not discriminate in employment decisions on the basis of an individual’s AIDS , AIDS Related Complex, or HIV status; nor will the City discriminate against individuals who are perceived to be at risk of HIV infection, or who associate with individuals who are believed to be at risk. Information For City Employees: If you are an employee within the department, are in good standing and meet both the minimum and preferred qualifications, then you will receive an initial interview. Supplemental Questions Required fields are indicated with an asterisk (*). * This position requires a graduation from an accredited high school or equivalent, plus two (2) years of experience with medical terminology, medical insurance, and medical billing and coding principles and practices. Do you meet the minimum qualifications for this position? Yes No * This position requires a criminal background investigation (CBI). By selecting the following, you are acknowledging that you understand if you are selected as a top candidate for this position, you will need a successful CBI to be hired. I acknowledge and understand this position requires a Criminal Background Investigation. * Please provide the number of years' experience with applying ICD-10 codes. No experience 1 year 2 years 3 years * Please describe your experience applying ICD-10 codes. (Open Ended Question) * Describe your experience with medical terminology. (Open Ended Question) * Please provide the number of years experience with medical billing and coding in a hospital, doctor's office, or ambulance provider setting. No experience 1 year 2 years 3 years * Please describe your knowledge of current insurance (Medicare, Medicaid, private insurance, Worker’s Compensation) to ensure coverage and proper reimbursement. (Open Ended Question) Optional & Required Documents Required Documents Cover Letter Resume Optional Documents
Mar 21, 2024
Full Time
Minimum Qualifications Education and/or Equivalent Experience: Graduation from an accredited high school or equivalent, plus two (2) years of experience with medical terminology, medical insurance, and medical billing and coding principles and practices. Licenses or Certifications: None. Notes to Applicants Position Overview: Under the direct supervision of the Revenue Cycle Manager, the Ambulance Billing and Coding Representative I will perform a wide variety of billing and coding duties such as review ambulance trip reports to determine medical necessity, assign appropriate level of care as defined by CMS , assign proper coding to accurately report the patient’s condition and medical necessity. The Ambulance Billing and Coding Rep will also verify patient demographics and determine/validate insurance eligibility and primary source of payment. The person in this role will work in a challenging, fast paced environment while meeting deadlines. Additionally, this role will require attention to detail and the ability to prioritize independently. About EMS : The Emergency Medical Services department is responsible for managing critical time-sensitive life-threatening emergencies. While most of the assistance EMS gives to the community is medical in nature, everything we do is about service: service to our patients, their families and loved ones; service to our community; and service to the people who make up Austin-Travis County Emergency Medical Services. Why work for the City of Austin? The City of Austin provides generous benefits including medical, retirement plans, paid time off, as well as hybrid work schedules for eligible positions. Joining our team means you will have access to a network of 17,000+ City of Austin employees and the opportunities for training and professional growth are many! Regarding your Application: A detailed, complete City of Austin employment application is required to evaluate your qualifications and, if selected as a top candidate for the position, will be used when determining salary. Statements like “see resume” will not count when determining experience. Please be thorough in completing the employment application and list all experience that is relevant to this position. The application and resume must include dates (month and year) for each job history entry. In addition, the resume information must match the information on the application. Please describe your specific experience as it relates to the minimum and preferred qualifications when responding to the supplemental questions on the application. The responses to the supplemental questions should reference the employment history listed in the employment history section. Incomplete applications will not be considered. EMS reserves the right to close posted positions prior to the advertised close date, based on recruitment strategies and business needs. VETERANS : Veterans, we thank you for your service and welcome your application. If you are selected as the top candidate for the position you will be required to provide your DD214. Are you already a COA employee? Employees in Good Standing, who are candidates within the Department or division that the Position resides in, and who meet the minimum and preferred qualifications for the position will be included in the initial interview. ATCEMS employee must remain in Good Standing through the Top Candidate Selection phase at which time the Good Standing status will be re-verified. Assessments: An assessment will be required prior to interviews for those applicants selected to move in the hiring process. LANGUAGE : Must have the ability to read, write, and fluently speak English. Pay Range $21.18 - $23.56 per hour Hours 7:30 a.m. - 4:30 p.m. Monday - Friday Job Close Date 04/03/2024 Type of Posting External Department Emergency Medical Services Regular/Temporary Regular Grant Funded or Pooled Position Not Applicable Category Clerical Location 15 Waller St Preferred Qualifications Preferred Experience: Experience applying ICD -10 codes. Experience with medical terminology. Experience with medical billing and coding in a hospital, doctor’s office, or ambulance provider setting. Knowledge of current insurance (Medicare, Medicaid, private insurance, Worker’s Compensation) to ensure coverage and proper reimbursement. Duties, Functions and Responsibilities Essential duties and functions, pursuant to the Americans with Disabilities Act, may include the following. Other related duties may be assigned. Receives and answers customer service inquiries, requests, and complaints from the public related to ambulance billing. Responds verbally and in writing while complying with HIPAA , other public record laws, and confidentiality. Investigates and gathers information on accounts using a wide variety of resources within the scope of Local, State and Federal laws. Daily contact with confidential medical and credit information requiring knowledge and compliance with laws related to the custody, security, and release of this information. Reviews pre-hospital care reports for completeness and accuracy of information for billing. Researches and enters patient, financial, diagnostic, and statistical information into billing system. Determines order of primary, secondary, or other responsible parties for ambulance fee charges and bills appropriately following Medicare or Medicaid rules. Determines appropriate level of care and medical necessity to assign proper diagnosis codes, and charges based on patient care documentation as defined by Centers for Medicare and Medicaid Services ( CMS ) guidelines. Electronically submits healthcare-related forms to payers in accordance with filing deadlines. Prints, reviews, and mails billing statements for claims, and follows up to expedite payment in a timely manner. Collects cash and electronic payments. Posts and balances payments on ambulance accounts. Processes refunds and write-offs for management approval. Receives and processes rejected or denied claims and initiates appeal process. Works aging reports to optimize cash flow. Corresponds verbally and in writing with patients, third-party payers, and insurance carriers on claim denials and past due accounts for resolution of payment issues. Responsibilities - Supervision and/or Leadership Exercised: None. Knowledge, Skills and Abilities Must possess required knowledge, skills, abilities, and experience and be able to explain and demonstrate, with or without reasonable accommodations, that the essential functions of the job can be performed. Knowledge of medical, insurance, and healthcare terminology. Knowledge of medical terminology and general anatomy. Knowledge of Local, State, and Federal laws, including HIPAA , Medicare, Medicaid, and other public health plans. Knowledge of accounting and bookkeeping practices and concepts, as well as cash handling and account collection procedures and practices. Skill in medical coding. Skill in insurance verification. Skill in establishing and maintaining good working relationships to internal and external customers. Skill in using computers and related software applications, multiple line phone systems, credit card machines, and online credit card payment systems. Skill in handling multiple tasks and prioritizing. Skill in data analysis and problem solving. Skill in effective oral and written communication. Skill in reviewing (proofreading) material to ensure accuracy, completeness, and adherence to established formats. Skill in interpreting and analyzing applicable data. Ability to provide exceptional customer service. Ability to understand and communicate technical information. Ability to exercise discretion in confidential matters. Ability to establish and maintain effective working relationships with City employees and the public. Ability to work under pressure with frequent interruptions and changes in priorities. Ability to manage conflicts and concerns and work with difficult customers. Criminal Background Investigation This position has been approved for a Criminal Background Investigation. EEO/ADA The City of Austin is committed to compliance with the Americans with Disabilities Act. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please call (512) 974-3210 or Texas Relay by dialing 7-1-1. The City of Austin will not discriminate against any applicant or employee based on race, creed, color, national origin, sex, gender identity, age, religion, veteran status, disability, or sexual orientation. In addition, the City will not discriminate in employment decisions on the basis of an individual’s AIDS , AIDS Related Complex, or HIV status; nor will the City discriminate against individuals who are perceived to be at risk of HIV infection, or who associate with individuals who are believed to be at risk. Information For City Employees: If you are an employee within the department, are in good standing and meet both the minimum and preferred qualifications, then you will receive an initial interview. Supplemental Questions Required fields are indicated with an asterisk (*). * This position requires a graduation from an accredited high school or equivalent, plus two (2) years of experience with medical terminology, medical insurance, and medical billing and coding principles and practices. Do you meet the minimum qualifications for this position? Yes No * This position requires a criminal background investigation (CBI). By selecting the following, you are acknowledging that you understand if you are selected as a top candidate for this position, you will need a successful CBI to be hired. I acknowledge and understand this position requires a Criminal Background Investigation. * Please provide the number of years' experience with applying ICD-10 codes. No experience 1 year 2 years 3 years * Please describe your experience applying ICD-10 codes. (Open Ended Question) * Describe your experience with medical terminology. (Open Ended Question) * Please provide the number of years experience with medical billing and coding in a hospital, doctor's office, or ambulance provider setting. No experience 1 year 2 years 3 years * Please describe your knowledge of current insurance (Medicare, Medicaid, private insurance, Worker’s Compensation) to ensure coverage and proper reimbursement. (Open Ended Question) Optional & Required Documents Required Documents Cover Letter Resume Optional Documents