Medical Billing Technician

at Katahdin Valley Health Center in Brownville, Maine, United States

Job Description

Katahdin Valley Health Center
Job Description
Billing Technician

Reports To: Billing Manager
Status: Hourly
Facility Location: Varied
Hours: Varied

POSITION SUMMARY
The Billing Technician will work in the KVHC Patient Billing Department in a team setting to coordinate all aspects of the patient billing process to include Accounts Receivables, Collections and all Billing related customer service inquiries from patients. The Billing Technician will work as part of a Care Team to ensure effective and quality care is given to the KVHC patient.

RESPONSIBILITIES
1. Reconcile A/R system daily.
2. Post payments, research and issue insurance and patient refunds.
3. Process claim forms.
4. Follow up on denials and perform necessary corrections.
5. Process patient statements.
6. Communicate with patients on billing and statement issues.
7. Perform collection duties, including phone calls to patients.
8. Work with patients to negotiate payment plans.
9. Participate in the Care Team as outlined in protocol.
10. Performs additional duties or projects as assigned by the Billing Manager.
11. Adheres to all KVHC policies and protocols.
12. Complies with all safety rules and protocols. Reports all incidents, regardless of severity, immediately to their supervisor and completes an incident report and investigation form, which will be forwarded to Human Resources within 24 hours of the incident.
13. Conducts themselves as a good steward in the communities served by KVHC; represents the organization at outreach activities as needed.
14. Actively participates as committee member as assigned by the Chief Executive Officer.
15. Interacts harmoniously and effectively with others. Focusing on the attainment of organization goals and objectives through a commitment to team work.
16. Conforms to acceptable attendance and punctuality standards as expressed in the employee handbook.
17. Abides by the organization’s compliance program and requirements
18. At times you may be faced with challenges that may impact patient care. Addressing these challenges may not be in your job description, however Katahdin Valley Health Center encourages each team member to go above and beyond to address the patients’ needs in the moment. Employees have the autonomy to see the care experience through from A to Z to show our patients KVHC C.A.R.E.S.
19. The employee may be responsible for traveling to multiple locations as specified in their job offer and/or contract.

PROFESSIONAL EXPECTATIONS
1. Admit mistakes or missteps openly, own your own behavior, forgive one another, and model vulnerability and humility.
2. Keep discussions about team members, subordinates, and colleagues as well as challenges in the workplace, positive, constructive, and factual.
3. Be mindful of employee confidentiality even among peers, and particularly where an issue involves a peer.
4. Only say what you would be willing to say to someone directly.
5. Whenever possible, speak directly to the person with whom you are having a disagreement or a challenge. Challenge yourself to engage in these discussions. Do not avoid constructive conflict.
6. Work with your supervisor or HR when you need to process a performance or behavioral situation with a colleague or subordinate to determine next steps.
7. It is always okay, and usually preferable, to pause, and take time to reflect before reacting to a situation.

EDUCATION AND EXPERIENCE
1.High School graduation or equivalent required or a combination of education and experience.
2.Experience in medical billing, collections and accounts receivable processes.
3.Working knowledge of CPT/ICD-10 coding and medical terminology.
4.Proficiency with computer software applications-MS Word, Excel.
5.Strong communication skills both verbal and written.
6.Must be able to work independently and demonstrate flexibility in responding to change.
7.Must have excellent interpersonal and problem solving skills.
8.Understanding of insurance and reimbursement methods
9.Must possess a clean criminal and DHHS background.
10. Must possess the ability and means to travel between clinics as needed.
11. Valid State of Maine Driver’s license and ability to be insured by KVHC’s vehicle insurance carrier.

FUNCTION, DEMANDS AND PHYSICAL PERFORMANCE
Requires full range of body motion with the ability to bend, kneel and stoop. Must possess: the ability to sit and or stand for long periods of time, the ability to lift approximately 30 lbs., visual acuity with color vision, the ability to communicate effectively and calmly in a professional manner, the ability to follow all workplace policies including safety and confidentiality, the ability to perform repetitive motion keyboarding functions, exposure to communicable disease, toxic substances, medicinal preparations and other conditions common to clinic environment. Knowledge of organizational policies, regulations, and procedures to administer patient care. Must possess the ability to work with and around medical equipment and instruments safely and effectively as appropriate. Knowledge of common safety hazards and precautions to establish a safe work environment including Safety Data Sheets. Skill in preparing and maintaining records, writing reports, and responding to correspondence.
Skill in developing and maintaining department quality assurance. Skill in establishing and maintaining effective working relationships with patients, medical staff, and the public. Ability to maintain quality control standards. Ability to react calmly and effectively in emergencies. Ability to interpret, adapt and apply guidelines and procedures. Ability to communicate clearly.

CONFIDENTIALITY OF PATIENT INFORMATION AND ALL KVHC HEALTH CENTER BUSINESS IS ESSENTIAL. EMPLOYEES MUST COMPLY WITH THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996-PUBLIC LAW 104-191