Medical Biller 1 or 2

The Lincoln County Health and Human Services Department is looking for a Medical Biller 1 or 2 for their team. This person will assist in the maintenance of accounting and financial records by applying bookkeeping methods to a variety of recording functions while providing customer service to both external and internal clients, partners, and co-workers.. They willreview medical claims, prior and subsequent to billing, to ensure accuracy and facilitate reimbursements. This position is also responsible for applying bookkeeping methods to a variety of recording and auditing functions.

MB1: $23.44 - $27.17 per hour*

MB2: $25.32 - $29.36 per hour*

*Lincoln County follows Oregon Pay Equity laws in reviewing education and experience for wage offer.

Lincoln County offers a comprehensive benefits package including:

• Medical, Dental, & Vision Coverage
• 11% County contribution to 401(k)
• County funded Health Savings Account (HSA)
• $40,000 County Paid Life Insurance
• Employee Assistance Programs (EAP)

Billing and Coding:

• Review charges prior to initial claims submission to ensure accuracy. Make identified minor corrections as needed (e.g., Program Area, Guarantor Account, Place of Service). Forward major errors identified to Medical Biller 2, Certified Coder, or Supervisor (e.g., Coding, Diagnosis, Pairing).
• Review and triage claim denials. Correct minor errors and forward major errors to Medical Biller 2, Certified Coder, or Supervisor.
• Research insurance eligibility status and make adjustments.
• Submit authorization requests as needed.

Financial:

• Post receipts, invoices, adjustments, and payments for all clinics in electronic health record system.
• Generate daily and monthly control reports for services and deposits.
• Maintain client account balances and bills various accounts.

Customer Service:

• Collect and receipt all client payments. Calculate adjustments on accounts.
• Answer client questions regarding their account status and balances.
• Assist support staff and providers with account and billing questions.

Billing and Coding:

• Review charges prior to initial claims submission to ensure accuracy. Make corrections as needed, whether minor or major.
• Review outpatient medical and mental health claim denials and rejections for any coding errors, correct and resubmit claims as appropriate.
• Correct some major errors (e.g., Coding per payer billing requirements, Diagnosis ordering) identified by any Medical Biller 1. Route major errors requiring certified coder review as appropriate.
• Research insurance eligibility status and make adjustments.

Financial:

• Post receipts, invoices, adjustments, and payments for all clinics in electronic health record system.
• Generate daily and monthly control reports for services and deposits.
• Maintain client account balances and bill various accounts.
• Prepare annual write-offs and purge financial records.

Customer Service:

• Collect and receipt all client payments. Calculate adjustments on accounts.
• Answer client questions regarding insurance, Medicare, and Medicaid billings.
• Assist support staff and providers with billing questions.

Training:

• Create workflow documents for procedures.
• Assist with the creation, modification, and updating of Policies and Procedures.
• Train and assist in orientation of new employees.
• Provide occasional supplemental training for other departments.

EDUCATION

MB1: High School Diploma / GED

MB2: Associates degree in a relevant field and/or Coder a Biller certification through AAPC or AHIMA.

EXPERIENCE

MB1:One year experience in general office work which includes fiscal record keeping or bookkeeping.

MB2:Two-Three years' experience in medical office work which includes fiscal record keeping, billing, and claim submission; including or supplemented by courses in medical billing.

Certifications:

MB1:None

MB2:Coder or Biller through AAPC or AHIMA

*If certified as a Coder or Biller, the employee is required to maintain current and active certification, and to provide the appropriate verifications at the time of renewals.

Desirable Qualifications:

Bilingual and/or bicultural competencies for the Latino population preferred. Federally Qualified Health Center or Rural Health Center experience preferred.

Knowledge of/Ability to:

• Working knowledge of bookkeeping principles and practices.
• Office methods and procedure.
• Familiarity with the use of standard office machines.
• Perform detailed work involving written or numerical data and to make mathematical calculations rapidly and accurately.

REASONABLE ACCOMMODATIONS

Lincoln County is committed to providing reasonable accommodations as required by the Americans with Disabilities Act (ADA). This job description indicates, in general, the nature and levels of work, knowledge, skills, abilities, and essential functions expected of the position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential functions.