Accounting Technician II - Health Billing presso Craven County, NC

About the Department

Primary purpose of this position is to review, analyze and code diagnostic and procedural information that determines Medicaid, Medicare and private insurance payments by ensuring ICD 9, ICD 10, CPT and HCPCS coding is correct. 

Position Duties

Billing and Collections

• Analyze insurance denials and resolve problems or discrepancies as they occur
• Understand clinical information, and navigate through medical systems, billing and ongoing communication with multiple insurance carriers, follow-up, denials, appeals, and collections.  Prompt and thorough follow up of accounts to obtain payment or final disposition of claims
• All payments either insurance or first party pay are keyed to the ledger daily
• Responsible for patient billing.  Position also collects patient outstanding debts either through the normal billing process or by utilizing the County’s Debt Set-Off program currently in place.  
• Keep informed of updated fee scales as published by the Health Department and other agencies, along with private provider updates for filing of claims.
• Upon receiving Medicaid payment notification from NC Tracks, access appropriate system and print payment reports to be coded to appropriate earned clinical revenue accounts.
• Runs reports weekly to post all Medicaid payments to patient ledgers. Reconcile remittance advice to verify accuracy of keying to ensure that all procedures are correctly billed.
• Process refund requests as needed
• Ensure that insurance balances are adjudicated within 90 days from the visit date.
• Receives bad check notices.  Applies bad check charge to patient’s ledger. Follows up with patient to have bad check redeemed and additional charge paid.

• Supervises checkout staff at Craven County Health Department.
• Conducts regular staff meetings to keep staff informed of new tasks, procedure changes, policy updates, etc. and provide refresher training as needed.
• Make sure there is adequate coverage at checkout as to not cause any delays for the patient.
• Run staff productivity reports to ensure staff workload is distributed evenly.
• Complete performance reviews for direct report staff.
• Review and approve, if appropriate, time off requests for direct report staff. Review and approve time entry biweekly for direct report staff.
• Address work performance or other personnel issues as needed. Consult with and make recommendations regarding disciplinary actions to supervisor and/or appropriate leader. 

• Process Responsible Party Report based on frequency determined by the Debt Set-Off Coordinator and Administrative Division Manager.
• Process Outstanding Medicaid, Insurance, Occupational Medicine reports monthly. 
• Responsible for running and analyzing outstanding Medicaid and credit card usage reports.  

• Provide coverage at checkout as needed completing check out duties to include but not limited to keying daily visit charges, collecting patient payments, discussing outstanding balances with patients, confirming dates of services, and verifying patients' income and documentation. 

• Other related duties as assigned.
• May be required to serve during times of disaster. 

Minimum Qualifications

Graduation from a high school including or supplemented by basic courses in bookkeeping or accounting and three years' experience in bookkeeping or accounting clerical work in an accounting office; or an equivalent combination of education and experience. (Completion of a one- or two-year business course in an accredited community college or business school including or supplemented by basic courses in bookkeeping or accounting may be substituted for two and three years of the required experience respectively.)