Job Description

Position Title: Billing and Collections Specialist
Supervisor: Revenue and Risk Director
Department: Billing and Collections
Work Location: Remote Eligible
Supervises: Not Applicable
Date Effective: 2/2023

JOB SUMMARY

The Billing and Collections Specialist is responsible for performing billing and collection-related functions.

ESSENTIAL FUNCTIONS

Essential functions are duties, which are essential or primary to the position or the reason the position exists. An individual must be able to perform the essential functions of the position with or without reasonable accommodation.

• Enters information into the billing system, monitors data, and provides related reports to supervisor.
• Able to complete billing processes including but not limited to charge acceptance, claim creation, billing of encounters, claim submission and corrections, posting payments, and managing rejections/denials.
• Able to review and produce patient statements and address patient account concerns.

SECONDARY FUNCTIONS

Secondary functions are duties, which are not exclusive of the position, and can be performed by other positions; however, secondary duties are to be performed for the efficiency of Compass Community Health.

• Assists administrative staff in Performance Improvement activities for Compass Community Health as needed
• Assists administrative staff in the provision of data as needed for reporting and/or grant purposes.
• Performs any other duties as assigned by the Revenue and Risk Manager.
• Participates in Patient-Centered Medical Home team meetings and quality improvement activities.
• Establish and maintain effective working relationships with diverse individuals including patients, family members, and other providers.
• Participates in data collection, review of respective outcomes reporting, as well as programmatic clinical audits and evaluation related to Patient-Centered Medical Home initiatives and other quality programs as appropriate.

COMPETENCIES

• Knowledge/skill regarding office practices, procedures, and efficient operation of office machinery.
• Ability in the area of effective communication and interpersonal skills with public and co-workers
• Demonstrates appropriate understanding of working with confidential material and situations
• Ability to understand and assimilate new information quickly
• Ability to accurately complete reports, gather statistics, transfer data
• Knowledge of various funding sources and what is required for billing

MINIMUM QUALIFICATIONS, INCLUDING TRAINING AND EXPERIENCE

• High School diploma or equivalent
• Prior experience with billing procedures related to client accounts and Management Information Systems experience preferred
• Knowledge of FQHC billing is preferred.