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Form of workAt White House Clinics, we do health care differently. Our multi-disciplinary care teams incorporate the expertise of medical, dental, behavioral health, pharmacy, and care navigation professionals to provide patients with comprehensive care designed to help them achieve their health goals. While our work is fast-paced, our teams enjoy being able to work collaboratively to support patients.
White House Clinics employees enjoy a competitive wage and robust benefit package including:
- Employer Paid Health, Life & Disability Insurance
- 4 Weeks of PTO
- Retirement Plan
- 8 Paid Holidays
Many employees work alternative work schedules which allow them a day off during the week.
At White House Clinics, we believe in providing our employees with opportunity for both personal and professional growth in a challenging and rewarding work environment. We recognize the contributions that each person makes to the team and value each person’s input as we work to deliver outstanding patient care. Join us today!
BASIC FUNCTION
Managing all aspects of the billing department. Ensure that patient claims are effectively processed to the appropriate source, such as: Private insurance, Medicare, Medicaid and Self Pay. This involves remittance, advice, customer courtesy and filing.
ACCOUNTABILITYAccountable to the Team Lead & Billing Manager. Responsible for keeping the Billing Manager informed of billing department activities, and of problems that may arise.
TYPICAL PHYSICAL DEMANDS
Requires standing or sitting. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Requires lifting papers or boxes up to 50 pounds occasionally. Requires dexterity to type 60 wpm.
TYPICAL WORKING CONDITIONSWork is performed in an office environment. Involves frequent contact with staff and public. Work is stressful at times. Contact may involve dealing with angry or upset people. Occasional overtime required.
PRINCIPLE DUTIES include the following. Other duties may be assigned.
- Prepare and submit clean claims electronically or by paper to various insurance companies.
- Work directly with the insurance company, healthcare provider, and patient to get claims processed and paid.
- Review and appeal unpaid and denied claims.
- Answer patient questions on patient responsible portions, co-pays, deductibles etc.
- Resolve patient complaints or explain why certain services are not covered.
- Prepare and send patient statements thru NextGen.
- Complete departmental filing of EOB’s and reports.
- Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
- Process payments from insurance companies.
- Work with patients to establish budget plans for unpaid balances.
- Process refunds for patients and insurance companies.
- Complete credentialing and re-credentialing of providers as needed.
- Assist with other duties or in other departments as instructed by supervisor.
- Provide superior customer service to all patients, external customers (office staff of other offices, hospital, community agencies, etc.), and co-workers. Serves as an ambassador of the White House Clinics in all conversations and interactions with these parties.
- Acknowledges that White House Clinics strive to be a patient-centered medical home and, as such, prescribe to team-based delivery of primary care services. Recognizes that the completion of the above listed duties illustrates the employee’s role in aforementioned team-based care and accepts responsibility for being an active member of the team, including identification of quality improvement opportunities.
- Maintain personal compliance with all White House Clinic policies and procedures (OSHA, HIPAA, Standing Orders, etc.)
- Cooperate fully with all aspects of Corporate Compliance Plan.
- Participate in all safety programs which may include assignment to an emergency response team.
EDUCATION & EXPERIENCE
High school diploma or GED Required
Post-secondary education or prior billing experience preferred
KNOWLEDGE, SKILLS & ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Knowledgeable of insurance and reimbursement process.
- Familiarity with HIPAA privacy requirements for patient information.
- Good verbal and written communication skills.
- Basic understanding of ICD9 and CPT billing codes.
- Proficient in medical terminology.
- Good telephone and patient relation skills.
- Detail oriented and ability to prioritize work.
EVALUATION
Evaluated annually by the Billing Manager with input from the CFO and support staff as appropriate.
The above information is intended to describe the most important aspects of the job. It is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required in order to perform the work. The health center reserves the right to revise or change job duties and responsibilities as the business need arises. Additionally, this job description is not intended as an employment contract, implied or otherwise, and the Center continues to maintain its status as an at-will employer.
