Biller​/Coder

Position: Biller / Coder
Location: Ocilla

# Biller / Coder Ocilla, GA 31774

Education Level High School## Biller/Coder

Job Description
*** General

Summary:

*** Performs work in accounts receivable and patient billing. This position identifies and codes patient professional fees for SCPCC. This position is dedicated to scrubbing and filing all commercial, Medicaid CMO, and Medicare claims. The position also follows up on lag times, electronic and paper denials. This position interacts with all levels of the organization to ensure cost-effective, accurate, and timely coding of professional services.
*** Employment Status:
*** Hourly – FSLA Non-Exempt Status
**
* Essential Duties and Responsibilities:

**** Ensures timely and accurate problem resolution between the organization and its patients.
* Ensures timely and accurate billing and collection of medical claims. Ensures that the billing and collection processes meet or exceed the organization’s financial and operational goals.
* Ensures the billing processes and collection mechanisms meet or exceed all requirements for internal controls, as well as those from all third-party payors.
* Ensures all billing processes and collection functions are compliant with all internal policies as well as state, local, and federal laws, regulations, regulatory and/or best practices.
* Ensures all billing and collection efforts contribute to a positive patient experience.
* Acts as liaison between Collection Agency, as well as managing and implementing procedures for payments received.
* Coordinates Monthly statement processing.
*** Knowledge, Skills, and Abilities:
**** Demonstrates knowledge in medical coding, claims, and billing.
* Must have knowledge of third-party reimbursement, Medicaid, Medicare, sliding fee scale, billing and collection procedures. Must have knowledge of electronic accounts receivable applications and computer data entry. Basic knowledge of Microsoft Office Suite, Adobe Acrobat, and PCs.
* Detail-oriented to accurately determine codes for billing, data retrieval and research using a computerized system.
* Must have excellent verbal and written communication skills.
* Must have excellent customer service skills.
*** Typical

Working Conditions:

**** Prolonged periods of sitting at a desk and working on a computer in a normal office environment.
* Work may be stressful at times and may require occasional evening or weekend work.
*** HIPAA Disclosure:
*** This position has access to systems and/or services that contain protected health information (PHI) as defined by the Health Insurance Portability and Accountability Act of 1996.  Additionally, the position ensures and adheres to strict confidentiality when handling patient information, according to the HIPAA Privacy Act and supporting GAPHC policies and procedures.
*** Reporting Relationship:
*** Medical Billing Manager
*** Supervisory Relationship:
*** None## Qualifications
**
* Qualifications:

**** A degree or diploma from an accredited academic institution required.
* A minimum of three to five years’ experience in physician billing/coding preferred.
* Knowledge of governmental and private insurers documentation guidelines required.
**
* Preferred Qualifications:

*** Registered Health Information Technician (RHIT), Register Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) credentials AHIMA (CCS, CCS-P, CCA, RHIA or RHIT) Certification or AAPC (CPC, CPC-H or CPC-A) Certification.
**
* Physical Requirements:

*** The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable qualified individuals with disabilities to satisfactorily perform these essential functions without causing undue hardship for the employer.
* Full range body motion including manual and finger dexterity and eye-hand coordination.
* Sitting, standing, and walking for prolonged periods of time.
* Occasionally lifting and carrying items weighing up to 50 pounds.
* Normal or corrected vision and hearing to normal range.
* Remaining awake and alert while on duty for 8 or more hours per shift.
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