Arizona Community Physicians

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Billing Office Specialist

at Arizona Community Physicians

Job Description

Job Summary

Responsible for the integrity, accuracy, and timeliness of patient accounting.  Ensures efficiency of billing, collection and reimbursement processes in order to maximize net revenues.  Provides outstanding customer service to both patients and staff.   Under direct supervision, responsible for timely follow-up with patients and third party payors.

 Minimum Qualifications

 Education:  High school diploma or equivalent

 Work Experience:  At least two years experience in billing and collections and at least four years experience in reimbursement.

 Preferred Experience/Qualifications: 

 Other Qualifications:  Works with minimal supervision to resolve issues.  Ability to follow through on assigned tasks.

Skill / Requirements

Responsibilities

Administrative: 

Demonstrates thorough knowledge of ACP policy and procedure in coordinating business office activities.  Maintains up-to-date resource manuals and related materials.  Ensures integrity, confidentiality and security of patient records.  Assists Site Coordinators in reimbursement issues.  Demonstrates thorough understanding of Medicare and commercial waivers when applicable. 

 Technical: 

Collects and reviews all patient insurance information needed to complete the billing process.  Completes all necessary insurance forms to process the proper billing information in a timely manner and as required by all third party payors.  Maintains current knowledge of third party billing, documentation guidelines, and reimbursement and contract administration.  Demonstrates competency in coding CPT and ICD-9 related to reimbursement.  Demonstrates competency in use and maintenance of computer equipment, printers, telephone system and fax machine.  Understands basic personal computer applications. 

 Customer Service:

Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, physicians and management.  Promotes excellence in patient relations and customer service, emphasizing compassion, responsiveness, respect and courtesy.  Acknowledges patients and visitors as soon as they are seen by making eye contact and smiling.  Asks questions to determine patient needs rather than assuming, whether in person or over the phone.  Looks for opportunities to exceed patient’s expectations by acting promptly, involving patient where solutions are needed.  Confirms patient’s satisfaction with service or course of action, and commits to follow-through.  Providing the highest-level customer service to patients and other ACP staff by following through on phone calls, site questions or concerns and account inquiry concerns.  Resolves patient complaints and requests regarding insurance billing and initiates accurate account adjustments.  Independently resolves difficult patient or co-worker interactions when possible.  Recognizes when supervisor intervention is required or appropriate.

 Teamwork:

Works harmoniously with others, including management, demonstrating a commitment to achieving common goals.  Responds positively to work-related requests from others.  Willingly shares knowledge and serves as a resource to others.  Communicates in a manner that promotes trust and mutual respect.  Refrains from gossip, criticism, breach of confidentiality and other behaviors that would undermine good working relations.  Maintains emotional control, calmness and professional demeanor in dealing with conflict and difficult issues.  Adapts to changes in job duties and workplace with a positive and cooperative spirit.

 Attendance: 

Accurately records arrival/departure times and hours worked.  Consistently reports to work on time and returns from breaks and lunch promptly.  Adheres to the established attendance policy.  Contacts supervisor appropriately when absent.  Uses time efficiently by remaining focused on tasks and minimizing idle conversation and other distractions.

 Physical Requirements and Working Conditions

 During an 8-hour day will typically spend 6 hours sitting in continuous periods of 60 minutes or more, viewing a computer monitor and utilizing a keyboard.  Uses telephone for prolonged periods while performing clerical duties.  Frequent walking and standing.  Occasional lifting, bending, stooping, walking or standing with up to 20 pounds (boxes of paper or records, office equipment).

 

 

 The intent of this job description is to provide a summary of the major duties and responsibilities performed by individuals in the job title.  Individuals may be required to perform additional job-related tasks as needed.