BILLING REPRESENTATIVE

Brattleboro Memorial Hospital /

Southern Vermont Health Services Corporation

Job Description

Job Title: Billing Representative

Job Code: 124

Hours: 0800-1630

FTE: 1.0 (40 hours/week)

Weekend Schedule: N/A

Holiday Schedule: N/A

Call Schedule: N/A

FLSA Status: Non-exempt

Department Name: Business Office

Department Code: 9010

Location: Brattleboro, Vermont

JOB SUMMARY:

Responsible for timely and accurate submission of all insurance claims, within an assigned scope of designated practices. Follows all third-party requirements and correct coding initiatives. Regularly review all Accounts Receivable for unpaid claims or claim issues. Communicates with office staff and office managers on a regular basis for claim and coding issues. Works all denials for designated offices. Continues to educate offices and staff on a regular basis in regard to coding and billing.

DEPT. SCOPE OF SERVICE:

All physician and professional billing for the BMH Physician Group. The biller works closely with patients and the practices to ensure timely and accurate filing of all insurance claims. Office hours are Monday-Friday 8-4:30 pm. Provides an excellent patient experience on all physician billing.

QUALIFICATIONS

Education:

• CPC or equivalent preferred

Experience:

• Experience in physician billing preferable, excellent communication skills a must

Licensure/Certification:

• CPC preferred

Mental Efforts:

• Able to prioritize
• Vision and hearing correct to within normal range

Environment & Working Conditions:

• Significant for CTS (carpal tunnel syndrome)
• Pleasant, safe conditions, no hazards
• Ability to use routine office equipment (PC, fax, copier, printer)
• Ability to work effectively

OSHA CATEGORY

• OSHA Category I - Tasks that involve exposure to blood, body fluids, or tissues require use of techniques of Universal Precautions as evidenced with blood borne pathogens standards.

PHYSICAL DEMANDS

• On-the-job time is spent in the following physical activities.
• Standing - Up to 1/3
• Walking - Up to 1/3
• Sitting - 2/3 or more
• Talking or Hearing - 2/3 or more
• Use of hands to finger, handle or feel - Up to 1/3
• Pushing/Pulling - None
• Stooping, kneeling, crouching or crawling - None
• Reaching with hands and arms - Up to 1/3
• Tasting or smelling - None

This position requires that weight be lifted, or force be exerted.

• Up to 10 pounds - 2/3 or more
• Up to 25 pounds - 1/3 to 1/2
• Up to 50 pounds - Up to 1/3
• Up to 100 pounds - None
• More than 100 pounds - None

This position has special vision requirements.

• Close Vision (clear vision at 20 inches or less)
• Color Vision (ability to identify and distinguish colors)
• Ability to Adjust Focus (ability to adjust eye to bring an object into sharp focus)

WORK ENVIRONMENT

• This position requires exposure to the following environmental conditions.
• Wet, humid conditions (non-weather) - None
• Work near moving mechanical parts - Up to 1/3
• Fumes or airborne particles - Up to 1/3
• Toxic or caustic chemicals - Up to 1/3
• Outdoor weather conditions - None
• Extreme cold (non-weather) - None
• Extreme heat (non-weather) - None
• Risk of electrical shock - None
• Work with explosives - None
• Risk of radiation - None
• Vibration - None

The typical noise level for the environment is:

• Very Quiet
• Quiet
• Moderate Noise
• Loud Noise
• Hearing
• Ability to hear calls
• Ability to hear instructions from physician/department staff/others

EEO/ADA STATEMENT

Brattleboro Memorial Hospital provides equal employment opportunities to all applicants and employees and strictly prohibits any type of harassment or discrimination in regard to race, religion, age, color, sex, disability status, national origin, genetics, sexual orientation, protected veteran status, gender expression, gender identity, or any other characteristic protected under federal, state, and/or local laws.

Consistent with the Americans with Disabilities Act (ADA), it is the policy of Brattleboro Memorial Hospital to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact Human Resources.

Compensation Disclosure in Accordance with Vermont Act 155

In compliance with Vermont Act 155, Brattleboro Memorial Hospital provides the compensation range for this position in good faith. The listed range represents the pay scale reasonably expected for a successful candidate based on factors such as relevant experience, education, internal equity, and market competitiveness. Final compensation will be determined during the hiring process.