Under direct supervision, performs all collection functions on account balances within assigned financial classes

Education:
Specialized training in coding/abstracting procedures, anatomy and physiology and medical terminology obtained through seminars and college courses
 

Licensures/Certifications:
Active AAPC certification required
Additional coding certifications applicable to physician practice billing preferred
 

Experience:
One year of direct billing or collections experience required in a healthcare or insurance environment. Completion of medical billing and coding course and coding certification required. 1 year of CPT and ICD10 coding experience
 

Skills:
• Knowledge of collection procedures, laws, rules and regulations
• Skill in written and oral communications
• Skill in performing arithmetic calculations

Patient & Workplace Safety: 

Employee has knowledge and understanding of patient and workforce safety as it relates to job duties. 

Patient Population: 

Demonstrates competency in the delivery of care and applies the knowledge to meet age-specific needs if applicable. 

Principal Duties and Responsibilities:
• Works with front-desk staff to ensure accurate patient registration in the practice management system
• Reviews physician charges and adds modifiers or other standard coding conventions to ensure accurate and timely billing
• Creates and submits clean claims for billing by reviewing and correcting claim errors in accordance with established policies and procedures
• Reviews and works open encounter and inpatient note reconciliation report
• Provides financial counseling to patients, set-up and approves self-payment plans in accordance with established policies and procedures
• Functions as the practice liaison with the Central billing Office and assists in educating the practice staff about efficient and compliant billing and registration practices
• Provides assistance to providers on correct CPT and ICD 10 coding

All roles must demonstrate GBMC Values: 

Respect 

I will treat everyone with courtesy. I will foster a healing environment. 

Treats others with fairness, kindness, and respect for personal dignity and privacy. 

Listens and responds appropriately to others’ needs, feelings, and capabilities. 

Excellence 

I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others. 

Meets and/or exceeds customer expectations. 

Actively pursues learning and self-development. 

Pays attention to detail; follows through. 

Accountability 

I will be professional in the way I act, look and speak. I will take ownership to solve problems. 

Sets a positive, professional example for others. 

Takes ownership of problems and does what is needed to solve them. 

Appropriately plans and utilizes required resources for various job duties. 

Reports to work regularly and on time. 

Teamwork 

I will be engaged and collaborative. I will keep people informed. 

Works cooperatively and collaboratively with others for the success of the team. 

Addresses and resolves conflict in a positive way. 

Seeks out the ideas of others to reach the best solutions. 

Acknowledges and celebrates the contribution of others. 

Ethical Behavior 

I will always act with honesty and integrity. I will protect the patient. 

Demonstrates honesty, integrity and good judgment. 

Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers. 

Results 

I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.  

Embraces change and improvement in the work environment. 

Continuously seeks to improve the quality of products/services. 

Displays flexibility in dealing with new situations or obstacles. 

Achieves results on time by focusing on priorities and manages time efficiently. 

 

Pay Range

$23.53 - $38.57

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

COVID-19 Vaccination

All applicants must be fully vaccinated against Covid-19 or obtain a GBMC approved medical or religious exemption prior to starting employment at GBMC Healthcare, to include Gilchrist and GBMC Health Partners.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.