Primary Purpose: To ensure that all billing and collection is done in a timely manner and in accordance with the provider’s insurance contract.
Routine Decision Making: Determining whether account information is correct; whether insurance payments are accurate and that the balance due is the patients responsibility; whether a patient needs to be sent to collections; if the ICD-9 and CPT codes have been used accurately on insurance claims and when entering charges; where credit balances are to be refunded or whether a mistake has been made.
Required Knowledge: Knowledge of state and federal rules and regulations, to include Rural Health Clinic; billing standards; provider CPT and ICD-9 coding; medical computer software programs, and insurance policies and procedures.
Required Skills and Ability: Management skills; application and maintenance computer skills; verbal and written communication skills; knowledge of office machines; and 10-key ability.
Education / Certification: At least a high school education. Previous experience utilizing ICD-9 and CPT coding is preferred.