Family Care Health Centers
Job Description
Job Description
I. BASIC FUNCTION: Provides all necessary assistance in maintaining current billing procedures, billing objectives, and assistance to the Patients Accounts Manager. The basic function can be accomplished by meeting the billing department objectives as stated below or as modified: 1) Gross accounts receivables > 120 days should stay under 30% of the gross accounts receivables. 2) Days of gross charges in accounts receivables should be less than 60. 3) All charges should be posted within 3 days from the date of service. 4) Self-pay collection rate should be 25% as measured by federal indicators. All employees of FCHC must ensure service standards are delivered, including: FCHC Core • Demonstrates a commitment to FCHC mission and vision. • Demonstrates a positive attitude towards patients, employees, role, and the health center. • Demonstrates FCHC core values (accountability, courtesy, excellence, flexibility, integrity, respect). Customer Service and Professionalism • Smiles and makes appropriate contact, greets individuals upon entry into building and space. • Is customer service oriented to both internal (colleagues) and external (patients, clients, vendors, etc.) Customers. Treats patients, customers and colleagues with dignity and respect. • Provides timely response to requests, tasks, and inquiries. Demonstrates good service turnaround. • Demonstrates good communication skills and communicates in a tactful manner. • Exhibits conflict resolution skills in order to foster effective working relationships and embraces a team approach. • Adheres to FCHC’s dress code policies. Employee appearance and grooming appropriate. Show(s) • Consistently shows commitment to position and team performance (i.e., attendance and punctuality). • Consideration and acceptance of cultural differences of others; works well with individuals of diverse backgrounds, supporting a culture of justice, equity, diversity, and inclusion. • Participates in training and professional development and completes required trainings in a timely manner. Safety • Adheres to and promotes a culture of safety and cleanliness. • Adheres to
HIPPA/Confidentiality
standards. • Respectful of FCHC property, properly and safely uses Health Center Equipment. JOB DESCRIPTION DEPARTMENT: FINCANCE JOB TITLE: PATIENT ACCOUNTS SPECIALIST PATIENTS ACCOUNTS SPECIALIST II. INTRADEPARTMENTAL RELATIONSHIPS: Department Officer: Chief Financial Officer Reports to: Patient Accounts Manager Supervises: None III. PRIMARY RESPONSIBILITIES: 1. Posts patient and third-party payments, including adjustments according to company policy to ensure accurate Accounts Receivable balances. 2. Uses Age Trial Balance Reports as a tool to monitor and work outstanding account balances which will help to ensure timely reimbursement and postings that comply with department policy. 3. Assists with cross-training of billing staff on all functions. Communicates with Patient Accounts Manager as needed to discuss billing problems/issues. 4. Processes patient encounters, both on-site and off-site, daily. 5. Assists patients in resolving billing problems or inquiries, either face-to-face or by telephone. Advises Patient Accounts Manager if special action is necessary. Assists patients in setting up payment plans. 6. Assists Patient Accounts Manager in resolving billing-related problems in the payment management system as required. 7. Maintains working knowledge of current Medicaid and other third-party regulations for billings to maximize payments. Communicates with Patient Accounts Manager when procedural changes are required. 8. Prepares administrative write-offs to be approved by the Patient Accounts Manager. 9. Operates as cashier collecting payment of fees for current or previous visits and providing receipts appropriately. 10. Helps to maintain open encounter list below department goals. IV. PERIODIC DUTIES: 1. Contributes to Health Center community health activities outside of regular job responsibilities. 2. Participates in Health Center staff problem solving groups. 3. Attends and participates in department meetings, etc. as assigned. 4. Performs other duties as assigned. PATIENTS ACCOUNTS SPECIALIST V. WORKING RELATIONSHIPS: Inside Health Center: All inclusive. Outside Health Center: Patients/Clients, students, vendors, community health agencies, hospitals, insurance companies, Medicare/Medicaid, physician offices, etc. VI. QUALIFICATIONS: 1. High School Diploma or G.E.D. Certificate required. 2. One (1) year medical office work experience or one (1) year automated medical billing experience required. 3. Knowledge of medical terminology preferred. 4. Computer and data entry experience preferred. 5. Must possess excellent customer service skills. VII. CONFIDENTIALITY: Respect for and maintenance of client and staff confidentiality is required. The above
responsibilities/duties
describe the chief function (requirements) of the job (holder) and are not to be considered a detailed description of every
responsibility/duty
(requirement) of the job (holder).
Job Description
I. BASIC FUNCTION: Provides all necessary assistance in maintaining current billing procedures, billing objectives, and assistance to the Patients Accounts Manager. The basic function can be accomplished by meeting the billing department objectives as stated below or as modified: 1) Gross accounts receivables > 120 days should stay under 30% of the gross accounts receivables. 2) Days of gross charges in accounts receivables should be less than 60. 3) All charges should be posted within 3 days from the date of service. 4) Self-pay collection rate should be 25% as measured by federal indicators. All employees of FCHC must ensure service standards are delivered, including: FCHC Core • Demonstrates a commitment to FCHC mission and vision. • Demonstrates a positive attitude towards patients, employees, role, and the health center. • Demonstrates FCHC core values (accountability, courtesy, excellence, flexibility, integrity, respect). Customer Service and Professionalism • Smiles and makes appropriate contact, greets individuals upon entry into building and space. • Is customer service oriented to both internal (colleagues) and external (patients, clients, vendors, etc.) Customers. Treats patients, customers and colleagues with dignity and respect. • Provides timely response to requests, tasks, and inquiries. Demonstrates good service turnaround. • Demonstrates good communication skills and communicates in a tactful manner. • Exhibits conflict resolution skills in order to foster effective working relationships and embraces a team approach. • Adheres to FCHC’s dress code policies. Employee appearance and grooming appropriate. Show(s) • Consistently shows commitment to position and team performance (i.e., attendance and punctuality). • Consideration and acceptance of cultural differences of others; works well with individuals of diverse backgrounds, supporting a culture of justice, equity, diversity, and inclusion. • Participates in training and professional development and completes required trainings in a timely manner. Safety • Adheres to and promotes a culture of safety and cleanliness. • Adheres to
HIPPA/Confidentiality
standards. • Respectful of FCHC property, properly and safely uses Health Center Equipment. JOB DESCRIPTION DEPARTMENT: FINCANCE JOB TITLE: PATIENT ACCOUNTS SPECIALIST PATIENTS ACCOUNTS SPECIALIST II. INTRADEPARTMENTAL RELATIONSHIPS: Department Officer: Chief Financial Officer Reports to: Patient Accounts Manager Supervises: None III. PRIMARY RESPONSIBILITIES: 1. Posts patient and third-party payments, including adjustments according to company policy to ensure accurate Accounts Receivable balances. 2. Uses Age Trial Balance Reports as a tool to monitor and work outstanding account balances which will help to ensure timely reimbursement and postings that comply with department policy. 3. Assists with cross-training of billing staff on all functions. Communicates with Patient Accounts Manager as needed to discuss billing problems/issues. 4. Processes patient encounters, both on-site and off-site, daily. 5. Assists patients in resolving billing problems or inquiries, either face-to-face or by telephone. Advises Patient Accounts Manager if special action is necessary. Assists patients in setting up payment plans. 6. Assists Patient Accounts Manager in resolving billing-related problems in the payment management system as required. 7. Maintains working knowledge of current Medicaid and other third-party regulations for billings to maximize payments. Communicates with Patient Accounts Manager when procedural changes are required. 8. Prepares administrative write-offs to be approved by the Patient Accounts Manager. 9. Operates as cashier collecting payment of fees for current or previous visits and providing receipts appropriately. 10. Helps to maintain open encounter list below department goals. IV. PERIODIC DUTIES: 1. Contributes to Health Center community health activities outside of regular job responsibilities. 2. Participates in Health Center staff problem solving groups. 3. Attends and participates in department meetings, etc. as assigned. 4. Performs other duties as assigned. PATIENTS ACCOUNTS SPECIALIST V. WORKING RELATIONSHIPS: Inside Health Center: All inclusive. Outside Health Center: Patients/Clients, students, vendors, community health agencies, hospitals, insurance companies, Medicare/Medicaid, physician offices, etc. VI. QUALIFICATIONS: 1. High School Diploma or G.E.D. Certificate required. 2. One (1) year medical office work experience or one (1) year automated medical billing experience required. 3. Knowledge of medical terminology preferred. 4. Computer and data entry experience preferred. 5. Must possess excellent customer service skills. VII. CONFIDENTIALITY: Respect for and maintenance of client and staff confidentiality is required. The above
responsibilities/duties
describe the chief function (requirements) of the job (holder) and are not to be considered a detailed description of every
responsibility/duty
(requirement) of the job (holder).