Biller I

Summary

Under the direction of the Biller III performs a variety of clerical duties in the maintenance of clinic patient’s accounts, performing all work with accuracy and in a timely manner. Responsible for billing third party payers and cash paying patients.

Responsibilities (are not limited to):

• Performs all data entry requirements needed to accurately and expediently transfer source document data into billing system.
• Responsible for rebilling activity and running reports as needed
• Prepares and processes clinic billing and assists in month end closing process when needed which may include posting payments and process dates. Responsible for processing a minimum of 80-150 visits depending on department/location. Dental visits must be billed no later than 2 business days.
• Trains other clinic personnel in the use of computer hardware, software, and billing procedures in corporate offices or at remote clinic sites. 
• Maintains quality control in the area of data entry by proofing work prior to actual posting of transactions.  Maintains accurate sources of entry materials or documents and maintains a filing system for all assigned bookkeeping.
• Communicates in a professional manner when addressing possible source data inconsistencies with other departments or clinics.
• Answers the telephone and assists customers; responds to inquiries regarding bills and billing procedures and resolves corresponding issues.
• Performs general clerical duties as required, including typing correspondence, copying and filing charts and other documents, entering computer data, maintaining logs, claim mailing, and compiling data for reports.
• Clearing house and payer portals.
• Processes, posts and collects sliding fee/self-pay payments via phone directly to PM system. Print Statements after each qualify visit.
• Operates a variety of office equipment including computers, printers, copier, calculator, fax machine, telephone, etc.
• Performs other duties as assigned.

Additional Duties and Responsibilities

1. Attend staff meetings
2. Performs other duties as assigned.

Patient Centered Medical Home Essential Responsibilities (Principals)

• Collaborate with individual patients, their personal physicians, and when appropriate the patient’s family to ensure accessible, comprehensive, compassionate, and culturally competent care
• Facilitate care by registries, information technology, health information exchange and other means to assure that patients get the indicated care when and where they need and want it in a culturally and linguistically appropriate manner.
• Ensure all decisions respect patients’ wants, needs, and preferences and that patients have the education and support they require to make decisions and participate in their own care.
• Continually strive to attend to each patient “whole person,” in the context of the patient’s personal and medical history and life circumstances, rather than focusing on a particular disease, organ, or system.

Job Requirements

Education: High School Diploma or GED. Billing and Coding certificate preferred

Certification required: Current valid CPR certificate

Experience: Minimum of two years’ experience working in a customer service position in a healthcare clinic or medical office.

Verbal and Written Skills to perform the job:  Bilingual (English/Spanish). Familiarity with basic word processing, spreadsheet, and database applications.  Accurate keyboarding skills.

Technical knowledge and skills required to perform the job: Excellent verbal, written and interpersonal communication skills and the demonstrated ability to work with diverse individuals and groups.  Demonstrate high levels of self-initiation and direction. Knowledge of communities we serve. Knowledge and experience working in medical settings and interacting collaboratively with medical teams.  Skill in analyzing situations and making timely decisions.

Physical and Mental Requirements: Work involves sitting, talking, hearing, using hands to handle, feel or operate objects, tools, or controls, and reaching with hands and arms. The employee may be required to push, pull, lift, and/or carry up to 20 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Quality Management

1. Display knowledge of normal signs of human development and ability to assess and provide age appropriate care.
2. Contribute to the success of the organization by participating in quality improvement activities

Customer Relations

1. Respond promptly and with caring actions to patients and employees.  Acknowledge psychosocial, spiritual and cultural beliefs and honor these beliefs.
2. Maintain professional working relationships with all levels of staff, clients and the public.
3. Be part of a team and cooperate in accomplishing department goals and objectives
4. Interacts and communicates in a manner to reflect an understanding of the patient’s age, culture, state of health, and level of comprehension

Safety

1. Maintain current knowledge of policies and procedures as they relate to safe work practices.
2. Follow all safety procedures and report unsafe conditions.
3. Use appropriate body mechanics to ensure an injury free environment.
4. Be familiar with location of nearest fire extinguisher and emergency exits.
5. Follow all infection control procedures including blood-borne pathogen protocols

HIPAA/Compliance

1. Maintain privacy of all patients, employees and volunteer information and access such information only on a need to know basis for business purposes.
2. Comply with all regulations regarding corporate integrity and security obligations. Report unethical, fraudulent or unlawful behavior or activity.

Work Environment

1. The noise level in the work environment is usually moderate
2. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

General Requirements

Pre-employment requirements include I-9 verification, physical examination, positive background and reference check results, completed employment application, new hire orientation attendance.

OSHA Compliance

1. Comply with all regulations and required schedules regarding OSHA training.

Employee Physical Compliance

1. Required physical to be performed annually.

Policies and Procedures Compliance

1.   Responsible for following all La Maestra Family Clinic policies and procedures.

Meal Period Compliance (Non-exempt employees only.)

1. Punch out before 5 hours from the start of shift for meal periods.

Sexual Harassment Training (Management employees only.)

1.   Comply with all regulations and required schedules regarding sexual harassment training.

Acknowledgement

La Maestra Community Health Centers is an Equal Opportunity Employer. We encourage applications from all individuals regardless of race, religion, color, sex, pregnancy, national origin, sexual orientation, ancestry, age, marital status, physical or mental disability or any other protected class, political affiliation or belief.

I acknowledge that I have read and understand the attached job description. My signature below certifies that I am able to perform the essential duties and responsibilities of this position. I have also discussed any accommodations that I feel I might need to allow me to perform these essential functions. I agree to abide by all administrative and medical policies and protocols of La Maestra Community Health Centers.