Description

Position Overview:

Accurately transcribe and /or verify data from specific documents (encounters, referrals, Electronic Health Record (EHR) etc.) into the Center’s main computer system. Must be familiar with correction, deletion, and control techniques. Will be assigned to other Data Processing tasks, as needed. This work is carried out in support of the mission and goals of Ryan Network.

Essential Functions:  

• Create and /or verify charges from the EHR into the Center’s E Clinical Works/ Practice Management System based on the indicated:

1. Locked EHR
2. Procedure Codes

• Process electronic encounters and/or electronic claims into the appropriate categories prior to claim submission. Monitor open encounters on a daily basis.
• Batch and submit all claims to the appropriate insurance.
• Keep supervisor informed on the status of workload to ensure its timely completion.
• Review EHR to follows-up on:

1. Missing consent forms not scanned.
2. Missing practitioner signature.
3. Missing diagnosis and CPT codes
4. Obtain co-signatures for non-credentialed providers.

• Operate various office machines, including, but not limited to Xerox, and stamp machine.
• Verify insurance information, review and correct error and resubmit claims, utilizing the Center’s E Clinical Works/ Practice Management System.
• May be assigned and /or required to other billing tasks as necessary.
• Immediately report any problems unusual occurrences to supervisor.
• Must demonstrate a professional, courteous and respectful attitude in dealing with patients, immediate supervisor and other employees.

Qualifications

Minimum Experience and Skills Required:

• Knowledge of computers including but limited too, Microsoft Word and Excel.
• Knowledge of and/or experience of insurances verification and billing policies and procedures.
• Excellent interpersonal skills.
• Ability to organize, prioritize and execute multiple responsibilities.

Education, Licenses and/or Certifications Required:

High School Diploma or GED

Competencies Required:

Customer Service:

• Professional, courteous, and respectful attitude in dealing with others
• Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patient served (if applicable).
• Commits to exceeding expectations of the patient.

Cooperation/Teamwork

• Works well with others.
• Contributes input to improve outcomes.
• Asks others for opinions and feedback; provides feedback in a tactful respectful way.

Minimal Training Time:

90-day introductory period.

Working Conditions:

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to sit, talk and hear.

The employee is occasionally required to move about the office; use hands and fingers to feel, handle, or operate office equipment.

Specific vision abilities required by this job include close vision and the ability to adjust focus.

Work Environment

The work is primarily in a mental health clinic and/or general primary care setting which includes the unpredictability in behaviors of individuals and acute and chronic infectious diseases which may be contagious. Adequate preparation and precaution is necessary.

Disclaimer

The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position. This position may be required to perform other duties. If such work becomes a permanent and regular part of the job, a new description will be prepared.

Equal Opportunity Employer

William F. Ryan Community Health Center is an Equal Opportunity / Affirmative Action Employer and does not discriminate because of age, color, disability, ethnicity, marital or family status, national origin, race, religion, sex, sexual orientation, gender identity, military veteran status, or any other characteristic protected by law. We are committed to attracting, retaining and maximizing the performance of a diverse and inclusive workforce.