About this role
General Description
Under the general supervision of the Fiscal Support Officer, responsible for generating and submitting healthcare claims to insurance companies to ensure healthcare providers are reimbursed for their services.
Minimum Qualifications ( Education and Experience)
High School graduate (or GED) with at least one (1) year of related experience;
Or
Successful completion of one (1) academic year of study above the high-school level in a resident community college or university.
Minimum Qualifications (Necessary Knowledge, Skills and Abilities)
Must:
- Have considerable knowledge of office methods and techniques
- Be skilled in the use of computer programs including word processing, spreadsheets, internet, and email
- Have excellent interpersonal and communication skills with the ability to communicate effectively, both orally and in writing
- Be able to establish and maintain effective working relationships with coworkers
- Be able to maintain a cooperative working relationship with coworkers and those contacted during the workday
- Maintain confidentiality of all records and information
- Operate standard office equipment
- Understand and follow Bear River Health Department policies and procedures.
Special Qualifications
Must:
- Be able to pass a full background check and drug screening
- Possess or be able to obtain a valid Driver License at the time of employment
- Be able to provide your own transportation
- Be able to lift 50 pounds and be able to perform strenuous activities requiring flexibility and stamina, and overall general good health
- Have a flexible schedule and be available for scheduled work in the evenings and/or weekends and holidays as the job requires.
Summary of Duties
- Monthly statements for clients- Make sure payments are applied correctly, send statements, answer questions about statements, take credit card payments on balances.
- Medicaid- Verify coverage and help other clerical staff with Medicaid questions.
- Ensure payments received through point of sale and deposits are posted to the accounting system correctly.
- Responsible for daily outbound mail delivered to post office. Deliver daily deposits to the bank as needed to support Purchasing Support Officer.
- eCW Specialist- Act as the expert for the billing aspects of eClinicalWorks (electronic health record) by supporting team members and submitting service tickets as needed.
- Insurance- Front office contact for insurance/billing questions. Follow up with insurance as needed, mostly Medicaid for home visitation program. Help fix issues with claims not being paid correctly.
- Insurance Claims- Submit claims to insurance. Send errors to team members to fix.
- Front Office Billing- Process billings from labs, hospitals, etc. Enter information into DocLink for payment.
- Purchasing- Act as backup for the Purchasing Support Officer. Review requisitions, place orders, index and scan invoices and packing slips. Deliver received packages.