Arizona Community Physicians
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Part Time Charge Entry for Pediatric Office- 16 hrs/week
at Arizona Community Physicians
Performs high volume charge entry for multiple Pediatric providers utilizing expertise in the following areas;
1) ICD-10, 2) CPT and HCPCS coding, 3) insurance registration, 4) Medicare guidelines, and 5) charge/payment/adjustment posting functionality.
Education: High school diploma or equivalent.
Work Experience: Three years experience in one of the following areas, preferably within primary care – charge entry, patient accounting/billing, insurance claims processing, or other areas relating to physician practice charge entry, coding or accounts receivable.
Preferred Experience/Qualifications: Working knowledge of ICD--10, CPT and HCPCS coding and Medicare guidelines. Understanding of Medicare and health plan reimbursement guidelines.
Skill / Requirements
Demonstrates thorough knowledge of ACP policy and procedure regarding point-of-service (charge entry, cash reconciliation, completion of forms, timely submittals). Demonstrates high level of organizational skills in prioritizing tasks, tracking outstanding encounters and charge-related issues. Maintains current coding and reimbursement resource materials (CPT, ICD-10 HCPCS, Medicare guidelines, health plan reimbursement guidelines) to make them readily accessible. Maintains up-to-date resource manuals and related materials (account type grid, contract, ancillary and vendor grids, and reimbursement guidelines). Disseminates new information and policy changes to staff and physicians. Ensures integrity, confidentiality and security of records and cash. Assists Site Coordinator with daily monitoring of missing charge reports. Reconciles missing charges promptly. Completes batch reports accurately and reconciles charges and payments precisely.
Demonstrates thorough knowledge and understanding of ACP policies and procedures. Demonstrates expertise of medical office software including function keys, search and queries, file setup and related report function, patient registration, appointment scheduling, encounters, and charge entry. Demonstrates competency in coding and data entry of point-of-service and hospital charges to include procedures outlined by ACP policies and procedures. Demonstrates comprehensive understanding of ACP account types and insurance codes, and insurance directory lookup procedures. Demonstrates expertise in building and resetting encounters in accordance with surrogate care, worker’s compensation, midlevel provider and referring physician guidelines. Demonstrates competency in use and maintenance of computer equipment, printers, and telephone system and fax machine. Understands basic PC windows applications. Knows protocol for troubleshooting and reporting hardware and software problems.
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 their needs rather than assuming. Uses active listening skills, getting information and summarizing to check understanding. Seeks opportunities to exceed expectations. Confirms satisfaction with service or course of action and commits to follow-through.