PRIMARY FUNCTIONS
This position is responsible for billing for clinical services. This includes coordinating, verifying, and posting billable services.
The Medical Biller performs tasks to meet medical billing goals established for the NHV Health Department.
Part time position; schedule to be determined but will be between 8 : 30 a.m. - 5 : 00 p.m., Mon-Fri.
TYPICAL DUTIES AND RESPONSIBILITIES
- Coordinates with clinical and clerical staff to obtain charge information for all patients.
- Processes claims for payment from clinician encounters or insurance forms.
- Prepare and submit claims to insurance companies / state for reimbursement.
- Reviews and corrects claims that are missing information according to applicable standards and compliance guidelines.
- Provides a high level of customer service while maintaining professional and courteous communication with patients and insurance companies.
- Run daily billing reports.
- Verifies patient's insurance and eligibility.
- Utilize coding systems such as ICD-10 and ICD-9 to assign appropriate diagnosis and procedure codes.
- Verify and enter patient demographic and insurance information into billing systems.
- Provides basic administrative support including patient scheduling and intake, answering the phone, and medical records management.
- Performs other related work as required.
EDUCATION, QUALIFICATIONS & EXPERIENCE
- High School Degree or GED required.
- Minimum of one year of experience in medical billing and coding is preferred.
KNOWLEDGE, EXPERIENCE, SKILLS & ABILITIES
- Knowledge of federal and state regulations regarding claim reimbursements.
- Knowledge of Medicaid, Medicare, and private insurance billing procedures.
- Knowledge of CPT coding and ICD coding required.
- Knowledge of medical terminology.
- Experience with electronic health records.
- Ability to utilize Microsoft office suite.
- Knowledge of the most current concepts of public health practices.
- Knowledge of local, state and federal communicable disease reporting requirements.
- Ability to establish and maintain effective working relationships with professional medical personnel, other department personnel, and public officials.
- Ability to communicate effectively, both verbally and in writing.
- Ability to maintain confidentiality of data.
NECESSARY SPECIAL REQUIREMENTS
Medical Billing and Coding Certification, such as CBCS, CPB, CPC, or CCA, from a nationally recognized organization or agency required at time of application.
This position is aligned with current Core Competencies for Public Health Professionals published by The Council on Linkages between Academia and Public Health Practice.
Public Health Sciences
1.Applies basic principals of public health science
Community Dimensions of Practice
1.Collaborate and facilitate collaboration with community partners to promote the health of individuals, families and communities
Leadership and Systems Thinking
1.Incorporates ethical standards of practice as the basis of all interactions with organizations, communities, and individuals
Policy Development and Program Planning
1.Provides administrative and technical / clerical support to Department activities related medical billing and coding
2.Adheres to ethical principles in the collection, maintenance, use, and dissemination of data and information.
3.Maintains, updates, and uses computerized data management systems and electronic health records, and utilizes informatics to improve program operations.
Communication and Cultural Competency
1.Utilizes appropriate methods for interacting effectively and professionally with persons of all ages and from diverse cultural, socioeconomic, educational, racial, and ethnic backgrounds, sexual orientations, lifestyles and physical abilities.
Financial Planning and Management
1.Performs numerical calculations involving cashiering, reconciling accounts; electronic claims submission, program billing, and / or other applications.
2.Records clinic's financial transactions daily.
3.Ensures that all financial reports for management and funding agencies are completed properly and on time.
SALARY, BARGAINING UNIT & TERMS OF EMPLOYMENT
This is a Special Fund, "Non Tested" position.
This part time position is not eligible to receive medical benefits, vacation pay, sick pay, holiday, union membership, or union contractual benefits.
Any period of part time employment will not be construed in any way to mean probationary employment. Persons may not be employed in two concurrent part time positions with the City and / or the Board of Education at the same time.
Employment is contingent upon the successful completion of : (1) a pre-employment background check,and (2) a pre-employment drug screening in accordance with the City's Drug Free Workplace Policy*.
Instructions and information on this pre-employment process are included in Conditional Offer of Employment.
Pursuant to the Federal Drug Free Workplace Act of 1988, The City of New Haven has a adopted a Drug Free Workplace Policy.
The City of New Haven requires a pre-employment drug test, which includes screening for marijuana.
Selection Plan
Applications will be reviewed by the Department of Human Resources. Applicants must demonstrate that they meet the minimum requirements as listed within the job description;
failure to do so may result in disqualification.
It is critical that you complete the application thoroughly, as the information you provide will be used to ascertain if you are eligible to move forward in the selection process.
Your application and resume should indicate that you meet the minimum requirements as listed. This information may be used to determine the eligibility list.
Submissions may be evaluated prior to a posted closing date, and a hiring decision may be made prior to the removal of the job posting.
Information regarding the employment and selection process can be found HERE .
Please note that the only method of communication with applicants for this position will be by email. You must provide a valid, working email address and you will need to monitor your email, including spam / junk folders, for correspondence from the New Haven Human Resources Department.
We reserve the right to extend an application deadline or close a job posting early to ensure we can attract and identify the best candidate(s) for a position.
Conclusion
To apply for this opportunity :
- Complete your User Registration. You are encouraged to save your Applicant Profile for future use.
- You MUST click on the job posting you are interested in, and click Apply or Apply Online from within that posting.
- MAKE SURE the job you are applying for is named at the top of the page as you review your application!
- Review or modify your application for that position
- Click "Ready to Send App " or the " Send " tab; read page and click the attestation
- Click " Send to City of New Haven "
- You will be redirected to " CONFIRMATION OF EMPLOYMENT APPLICATION SUBMISSION "
- You will also receive an email and text, if a number was provided, confirming your submission
- If you do not receive this confirmation in the next 24 hours, your application has not been submitted - please contact us at [email protected]
Please Note, your Profile is NOT an application for an open position. After you create your Applicant Profile, you must still click on a Job Title and complete the application as instructed for each position .