Purpose: |
|
Under limited supervision, using independent discretion and judgement, this position performs advanced-level ambulance billing, recordkeeping, and accounting tasks related to the recovery of revenue for all billable services provided by Austin-Travis County EMS. |
Duties, Functions and Responsibilities: |
|
Essential duties and functions, pursuant to the Americans with Disabilities Act, may include the following. Other related duties may be assigned.
- Receives and resolves escalated customer service calls from the public, third-party payers, and insurance carriers.
- Delivers training and provides guidance to new and tenured billing and coding employees.
- Assists with creating procedures to enhance the billing process.
- Reviews information to determine patterns or discrepancies to improve billing processes.
- Reviews work for quality assurance and claim verification.
- Reviews hardship billing cases and contacts clients for special payment arrangements.
- Troubleshoots process and technical issues related to day-to-day operations.
- Develops and submits daily, weekly, monthly, and quarterly reports.
|
Responsibilities - Supervisor and/or Leadership Exercised: |
|
May provide leadership, work assignments, evaluation, training, and guidance to others.
|
Knowledge, Skills, and Abilities: |
|
Must possess required knowledge, skills, abilities, and experience and be able to explain and demonstrate, with or without reasonable accommodations, that the essential functions of the job can be performed.
- Knowledge of medical, insurance, and healthcare terminology and industry regulations and requirements.
- Knowledge of complicated multi-system medical terminology and general anatomy.
- Knowledge of medical conditions/signs and symptomology.
- Knowledge of Local, State, and Federal laws including HIPAA; and Medicare, Medicaid, and other public health plans.
- Knowledge of coding audits and Federal, State, and Local rules and regulations regarding medical claims.
- Knowledge of accounting and bookkeeping practices and concepts, as well as cash handling and account collections procedures and practices.
- Knowledge of signature requirements.
- Skill in medical coding.
- Skill in insurance verification.
- Skill in establishing and maintaining good working relationships with internal and external customers.
- Skill in handling multiple tasks and prioritizing.
- Skill in using computers and related software, multiple phone line systems, and credit card machines.
- Skill in using Microsoft software programs.
- Skill in effective oral and/or written communication.
- Skill in reviewing (proofreading) material to ensure accuracy, completeness, and adherence to established formats.
- Skill in interpreting and analyzing applicable data.
- Skill to provide on-the-job training and guidance.
- Ability to provide exceptional customer service.
- Ability to understand and communicate technical information.
- Ability to compile data for use in reports, review database records, understand and carry out basic claims procedures.
- Ability to exercise discretion in confidential matters.
- Ability to establish and maintain effective working relationships with City employees and the public.
- Ability to work under pressure with frequent interruptions and changes in priorities.
- Ability to manage conflicts and concerns and work with difficult customers.
- Ability to work in a call center type environment.
- Ability to recognize valid versus invalid signature types.
|
Minimum Qualifications: |
|
Graduation from an accredited high school or equivalent, plus four (4) years of experience with medical terminology, medical insurance, and medical billing and coding principles and practices. |
Licenses and Certifications Required: |
|
None.
|