At PMG, we strive to maintain a culture in which team members share pride in and responsibility for the company’s success. We make a significant investment in our people, which we hope inspires them to serve our clients more effectively and give back to their community.
Essential Duties & Responsibilities:
Charges
Monitoring Charge log on a daily basis to verify timely receipt of charges from clients as well as timely processing of charges by Operations team.
Monitoring results daily as compared to targets; alerting or taking appropriate actions when inconsistencies are identified.
Completing client specific charge processing tasks on a daily basis such as importing review process, EMR corrections and any other client specific tasks.
Completing exceptions daily including internal resolution as well as client resolution (i.e. Returned Items) within standard timelines.
Confirming processes completed for month end.
Participating in quality review including standard and ad hoc auditing of charges.
Participating in the creation and maintenance of charge rules.
Payments
Processing deposits for select client for bank deposit according to standard timelines.
Monitoring deposit log daily to verify timely receipt of payments from clients as well as timely processing of payments by Operations team.
Monitoring results daily compared to targets; alerting or taking appropriate actions when inconsistencies are identified.
Completing client specific tasks including credit card processing.
Completing exceptions daily including internal resolution as well as client resolution (i.e. Returned Items) within standard timelines.
Confirming processes completed for month end.
Processing of credit balances and refunds.
Processing of unapplied, unassigned/unposted payments.
Participating in quality review including standard and ad hoc auditing of charges.
Participating in the creation and maintenance of charge rules.
Processing credit card payments.
Reconciling deposit log on a weekly basis.
Other:
Participating in phone coverage.
Processing attorney requests and bankruptcy notices.
Processing returned patient statements.
Overseeing statement processing.
Processing paper claims.
Responsible for higher claims and payments task volume.
Supervisory Responsibilities:
Billing Specialists receive general supervision - routine duties are performed with minimal supervision; standard practices or procedures allow BSR’s to proceed alone at routine work; occasional check of work while in progress; work is reviewed upon completion.
Billing Specialists are supervised by and report to the Director of RCM.
Other Duties and Responsibilities:
Complying with HIPAA policies, PMG Policies and federal/state laws.
Participating in proactive team efforts to achieve departmental and company goals.
Regular office attendance required.
Performing other duties as assigned.
Summary of Qualifications:
Include in your resume the specific practice management systems you have used throughout your career.
Education and Experience:
Associate’s degree (AA) or equivalent from a two-year college or technical school and 2+ years’ experience in healthcare required; particular attention paid to applicants with charge entry or payment posting experience. May be substituted with equivalent combination of education and experience. Medical Billing (and/or Coding) Certificate strongly preferred.
Specialized Knowledge/Skills:
Proficient communicator, both verbally, interpersonally and written.
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form.
Strong organizational skills and attention to detail.
Skilled to prioritize, organize and delegate assignments; handle multiple, simultaneous, competing projects; capable of dealing with frequent interruptions.
Ability to perform intermediate math.
Capable of dealing with frequent interruptions.
Strong knowledgeable of keyboarding and Windows Office products (e.g. Word, Excel, Outlook, etc.), as well as prior experience with Medical Billing software.
Bilingual -English/Spanish - a plus.
Physical Requirements:
Necessitates fine motor skills; occasionally requiring pushing, pulling, lifting and carrying up to 15 lbs. Must be able to use a computer, including keyboard and telephone, during peak activity periods, in excess of 8 hours per day and/or 40 hours per week. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.
