Enrollment & Billing Representative jobs in Helena, MT

About us

Rocky Mountain Surgical Center in Bozeman, MT is an ASC providing orthopedic outpatient surgical services. We enjoy a professional, friendly environment and strive to provide excellent care to our patients in each aspect of care from registration to surgery and through billing resolution.

Our work environment includes:

• On-the-job training
• Growth opportunities
• Flexible schedule

Rocky Mountain Surgical Center Job Description

Position Title: Billing Coordinator
Reports To: Administrator

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Position Summary:
Performs routine clerical duties in the business office. Typing, filing, accounting, assigning charges, preparing insurance billings and processes bills and their follow-up. Assists with medical records, scheduling, and patient registration.

Minimum Requirements:

Education/Experience/Licenses/Certificates/Eligibility: Previous experience in medical business office required. Previous medical coding experience required. Bookkeeping/accounting experience preferred.

Eligibility: All employees must be able to provide proof of their identity and their right to work in the United States.

Skills/Knowledge/Ability:

Interpersonal: Able to read, write and communicate effectively with co-workers and patients. Flexible. Able to take direction from multiple sources. Displays a primary interest in serving the needs of the customer and maintaining standards of courtesy and friendliness to co-workers.

Critical Thinking: Able to work independently. Able to manage multiple priorities. Detail oriented. Willing to flex hours to meet facility needs. Able to follow a schedule and manage one’s own time.

Knowledge: Knowledge of A/R and A/P. Familiarity with generally accepted accounting principles. Knowledge of insurance billing and collections. Proficiency with Microsoft Office Suite. Knowledge of basic medical terminology. Knowledge of web access and utilization.

Machines, Equipment, Work Aides: Computer, Microsoft Office Suite, fax, copier, phones and shredder.

Work Environment: Subject to busy clinical business environment requiring above average ability to prioritize and organize. Some overtime may be required.

Physical Demands/Work Environment: See the Physical Demand Analysis form for information specific to this position.

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Essential Competencies / Performance Expectations:

General

o Receives incoming calls and provides appropriate responses or directs calls to proper individuals for handling.

o Receives payments (by cash, check or credit card) for services provided by the facility for third-party payers, patients, and other appropriate sources. Balances the funds collected on a daily basis.

o Assists with other business functions as needed. This may include: the admitting process, scheduling functions, billing activities, data entry, word processing, medical records, filing and mailing functions.

o Demonstrates knowledge of medical record policy and procedures.

o Demonstrates skill and knowledge in providing appropriate client care across the age span.

o Demonstrates appropriate protocol for safe use and handling of equipment and reports malfunctioning equipment to appropriate personnel.

o Performs other duties as may be appropriately required or assigned.

Financial Clearance

o Verifies patient third-party billing information or establishes deposit and payment schedule according to the facility’s policy.

o Assures all verifications are obtained prior to date of service including eligibility, authorization, benefits, etc.

o Actively collects patient’s out-of-pocket expenses prior to services being rendered.

o Demonstrates knowledge of facility allowable procedures.

o Provides all patients with facility estimate of charges.

Payment Posting

o Demonstrates competency in accounting documentation and record-keeping.

o Accurately updates accounts weekly for adjustments, payment, credit, charges, zero payments, deductible information, etc.

o Reviews all payments or insurance adjudication received for accuracy and complete payment.

o Applies all payments to correct accounts when received.

Coding/Billing

o Assures accurate coding, billing and collection are performed to assure maximization of facility reimbursement.

o Follows all official guidelines, including state and federal regulations.

o Completes all review and coding of procedures within 24-48 hours of completed medical record.

o Handles contracted, non-contracted, self-pay and third-party payer reimbursement issues.

o Facilitates timely claims processing by ensuring completeness and accuracy.

Patient Accounts

o Sends out patient statements and collection letters/warnings.

o Contacts patients based on internal procedures for account follow-up and closure.

o Maintains patient payment plans.

o Preps accounts for collections turnover.

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Insurance Accounts

o Submits billing (paper and/or electronic) to insurance companies with all needed documentation in a timely manner.

o Works closely with payer provider representatives.

o Effectively and independently handles second level reimbursement issues (contracted and non-contracted denials for services) before and after procedures.

o Performs other duties as may be appropriately required or assigned.

Communication

o Listens respectfully, gives feedback directly, honestly and talks with others to clarify differences.

o Effectively communicates and interacts with patients (using translation services when needed), their family, and other external and internal clients (including fellow employees) from diverse backgrounds.

Quality

o Demonstrates a willingness to look at new ideas and work in a changing environment.

o Understands, verbalizes and participates in the quality improvement process.

o Supports initiatives designed to improve individual and organizational performance.

Job Type: Full-time

Pay: $20.00 - $30.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Work setting:

• Ambulatory surgery center

Experience:

• Medical Billing: 2 years (Required)

Work Location: In person