Job Summary: Responsible for the preparation and submission of billing for all payers including self-pay patients, public programs, and private third party insurance. Conducts accounts receivable review and follow-up on all unpaid accounts to ensure prompt payment and performs other duties as required.

Wage Scale: $19.73 $23.54/Hour DOE

SPECIFIC TASKS/DUTIES:

• Reviews encounter forms for accuracy and completeness to ensure that the visit is billable.
• Returns incomplete forms to the Clinic manager for correction.
• Enters all visit and diagnostic codes from encounter forms into the practice management system on a daily basis after reviewing for completeness and accuracy.
• Reviews batches of charges entered for errors prior to posting.
• Processes billing for services to all payers including submission of electronic claims for public programs, hard copy claims on HCFA 1500's and UB 92's for private insurance and hard copy statements for self-pay patients.
• Maintains all backup of original documentation including encounter forms, copies of hardcopy statements, and correspondence available for audit, upon request.
• Receives remittance advices for third party billing, sends check to accounting for deposit, reconciles remittance advices and posts payments in a timely manner to ensure cash flow.
• Researches denials, unpaid or partially paid claims, and rebills weekly to insure prompt payment.
• Attends training seminars sponsored by the State or other payers to keep up-to-date on billing and eligibility issues.
• Maintains all billing manuals up-to-date by deleting outdated information and inserted new advice notices as they arrive.
• Handles calls regarding patient accounts and billing questions.
• Updates the charge master and other schedules such as the sliding fee schedule in the practice management system, wherever new charges or schedules are approved by the Board of Directors.
• Prepares bank deposits and reconciles to daily cash receipt logs.
• Develops payment agreements with patients with the approval of the Finance manager.

REQUIRED QUALIFICATIONS:

• High school diploma or GED required with one year billing experience in dental organization.
• Knowledge of billing practices as well as clinic policies and procedures.
• Knowledge of CDA and ICD-9 coding and billing requirements for public programs and third party payers.
• Familiar with data entry, use of a calculator, and software to create spread sheets such as Microsoft Excel.
• Ability to work effectively and cooperatively with other RFHC staff and patients.
• Ability to examine documents for accuracy and completeness.
• Ability to communicate clearly.
• Ability to prepare records in accordance with detailed instructions.
• This is a bonded position.

SKILLS AND KNOWLEDGE:

• Computer literacy required; familiarity with the use of clinical software such as Dentrix and Microsoft Windows.
• Strong organizational skills.
• The ability to work with persons from a wide diversity of social, ethnic and economic backgrounds is necessary.
• Effective oral and written communication skills in English are required. Effective oral communication skills in Spanish preferred.
• SRCH is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding, and related medical conditions), and sexual orientation.

PHYSICAL REQUIREMENTS:

• Use standard office equipment and access, input, and retrieve information from a computer. Use computer keyboard with manual and finger dexterity and wrist-finger speed sufficient to perform repetitive actions efficiently for extended periods of time.
• Communicate effectively in person or via telephone in a manner which can be understood by those with whom the person is speaking, including a diverse population.
• Give and follow verbal and written instructions with attention to detail and accuracy.
• Perform complex mental functions and basic arithmetic functions; interpret complex laws, regulations, and policies; collect, interpret, and/or analyze complex data and information.
• Vision: see details of objects at close range.
• Coordinate multiple tasks simultaneously.
• Reach forward, up, down, and to the side.
• Sit or stand for minimum periods of one hour at a time and come and go from the work area repeatedly throughout the day.
• SRCH provides reasonable accommodation for individuals with a physical or mental disability to apply for jobs and to perform the essential functions of their jobs unless it would cause an undue hardship.
• Lift up to five (5) pounds.