Job Information
Palmer College of Chiropractic Medical Billing Specialist in Davenport, Iowa
This is a key position within the Revenue Cycle Department. This role primarily follows the claim process from origin to completion ensuring proper coding procedures. He/She will be responsible for accounts receivable goals, by ensuring timely communication follow-up and correspondence with clinicians, insurance companies, and patients. He/She will be responsible for monitoring, pursuing, and collecting on past-due accounts, ensuring that payments from all sources are recorded and reconciled timely to maximize revenues.
EDUCATION AND EXPERIENCE
Associate Degree, Billing Certification or at least two years related experience and/or training required. Preferred experience specific to Chiropractic billing and coding. Experience in healthcare billing field to include, knowledge and proficiency with coding, health care accounting/revenue cycle procedures, or equivalent combination of education and experience.
ORGANIZATIONAL RELATIONSHIP
Responsible to the assigned administrator and has a support responsibility to all other departments and college personnel, as necessary.
SPECIFIC DUTIES AND RESPONSIBILITIES
Perform daily startup activities, including opening the department, preparing machines and equipment for daily use, and other related duties.
Reviews and verifies claims for completeness and accuracy to ensure first pass clean claim submittal to third-party payers.
Accurately post all insurance payments, adjustments, and denials by line item according to clinic policies.
Ability to maintain billing claim queues for accurate and timely follow up as assigned.
Timely follow up on denial management.
Reading and interpreting insurance explanation of benefits.
Review patient and/or payer accounts receivables and perform the appropriate follow up to resolve outstanding balances.
Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.
Responsible for re-billing and re-classifying patient accounts to the correct payer.
Review accounts and makes recommendations to the department administrator regarding non-collectible accounts.
Assist patients and clinicians with pre-authorizations for healthcare procedures.
Make necessary arrangements for records requests, completion of additional information requests, etc. as requested by insurance companies.
Respond to inquiries from insurance companies, patients, and providers.
Collects delinquent accounts by establishing payment arrangements through the patient advocate with patients; monitoring payments; following up with patients when payment lapses occur.
Serves as a resource to staff for billing issues.
Protects Clinic’s value by keeping collection information confidential.
Updates job knowledge by participating in educational opportunities.
Research payer rules and regulations to keep knowledge current and bring back to the department.
Verification and communication of patient benefits.
Assist students, faculty, alumni, and visitors.
Serves and protects the Palmer College of Chiropractic community by adhering to professional standards, College/Clinic policies and procedures, federal, state, and local requirements.
Excellent customer service skills with in-person, electronic or telephone communications.
Regularly meet with assigned administrator to discuss and resolve reimbursement issues or billing obstacles.
Regularly attend staff meetings and continuing educational sessions as requested.
Perform additional duties as requested by administration or supervisor.
Performs all responsibilities in a manner that fully complies with Palmer College Policies.
Adhere to all federal and state compliance for data management, reporting and ensures compliance with regulatory agencies.
Qualifications
KNOWLEDGE, SKILLS, AND ABILITIES
Knowledgeable in all aspects of clinic business and function; preferably within a healthcare or educational setting.
Knowledge of healthcare revenue cycle including medical billing, coding, and collection practices.
Experience in CPT, HCPCS and ICD10 coding; familiarity with medical terminology.
Chiropractic coding and terminology preferred.
Ability to work both independently and as part of a team.
Strong analytical skills required.
Ability to make independent and timely decisions.
Ability to multitask and work courteously and respectfully with fellow employees, clients, and patients.
Ability to perform assigned duties with time pressures and frequent interruptions.
Ability to utilize general office equipment and other necessary equipment.
Ability to utilize personal computer and various software packages.
Ability to analyze and resolve difficult problems.
Ability to communicate effectively.
Ability to work various hours as job requires.
Excellent customer service skills.
PHYSICAL REQUIREMENTS AND WORK ENVIRONMENT
Performs sedentary to light work in a ventilated, lighted, and temperature-controlled office setting.
Frequent need to stand, stoop, walk, sit, lift light objects (up to 10 pounds) and perform other similar actions during the workday.