POSITION SUMMARY:

This position is responsible for the financial activities of all RMF patient accounts to include but not limited to all of the following: account reconciliation and auditing of RMF office staff work through the running of various reports for issues and trends that will be brought to the attention of the Liaison, Manager and/or Administrator for that office. For the purpose of process improvement and financial stability within that particular office.

POSITION EDUCATION/QUALIFICATIONS:

• High School/GED preferred
• Medical Office Specialist certificate, preferred
• Excellent customer service skills.
• Computer skills required with knowledge of Microsoft Office suite, Internet
• EMR experience preferred
• Good written and verbal communication skills required
• Must have reliable transportation
• Bilingual – English/Spanish, preferred

JOB KNOWLEDGE/EXPERIENCE:

• Two (2) years experience in a physician or hospital business office
• Experience working with Excel spreadsheet is required
• Previous medical billing and front desk experience preferred

RESPONSIBILITIES:

• Take messages, returning calls, and helping patients/managers/administrators, as needed
• Reviews work administrator daily
• Reviews LCD’s (local coverage determinations)
• Reviews issues with insurance and demographic information errors
• Reviews the report for self-pay missing
• Reviews CPT Code and ICD-10 issues not on encounters
• Pulls reports from Medisoft for reconciliation of charges
• Reviews reports on charges that were entered by billing company and clinic incorrectly, making needed changes
• Reviews invalid diagnosis report
• Assists in obtaining coding summaries as needed
• Reviews daily billing batch reports
• Reviews refund documentation and then inputs into Form Fast for management approval
• Researches any billing complaint for Liaison or manager/Administrator as needed
• Review registration reports sent by Hospital daily and escalate to Liaison as needed
• Helps with any questions relating to billing, front desk as needed
• Cross trained to all areas of the revenue cycle
• Other duties as assigned