|Job type||Full Time|
Graduation from an accredited high school or equivalent, required.
Minimum of two years' experience with medical terminology, medical insurance and medical billing and coding principles and practices
Notes to Applicants
POSITION OVERVIEW :
Under the direction of the Revenue Cycle Manager, the Ambulance Billing and Coding Rep I will perform a wide variety of billing and coding duties such as review ambulance trip reports to determine medical necessity, assign appropriate level of care as defined by CMS , assign proper coding to accurately report patient's condition and medical necessity. The Ambulance Billing and Coding Rep will also verify patient demographics and validate/determine insurance eligibility and primary source of payment.
APPLICATION INFORMATION :
A detailed and complete employment application is required to help us better evaluate your qualifications and will be used to determine salary if you are selected for this position;
Please list your complete employment history (to include all job duties responsibilities and employment dates) on your online application;
The application is an official document; incomplete applications will not be considered (e.g., "see resume" or "see Linked In Profile").
Resumes will not be used to qualify for the position and will not be used to recommend salary;
Supplemental information or changes to your application will not be accepted after the job posting closes;
The responses to the supplemental questions inquiring about experience should be reflected on your application.
Veteran candidates will be required to provide a copy of their DD214 at the time of interview.
GOOD STANDING :
Employees in Good Standing, who are candidates within the department/division that the position resides in, and who meet the minimum and preferred qualifications (if any) of the position will be included in the initial interview. Department/division employee must remain in Good Standing through the Top Candidate Selection phase at which time the Good Standing status will be re-verified.
CRIMINAL HISTORY BACKGROUND CHECK :
Top candidate will be subject to a criminal background check.
Monday - Friday 7:30 A.M. to 4:30 P.M.
Job Close Date
Type of Posting External
Department Emergency Medical Services
Grant Funded or Pooled Position Not Applicable
Location 15 Waller Street Austin, Texas 78702
Duties, Functions and Responsibilities
Essential duties and functions, pursuant to the Americans with Disabilities Act, may include the following. Other related duties may be assigned.
Reviews ambulance trip reports to determine medical necessity and assign appropriate level of care as defined by Centers for Medicare and Medicaid Services ( CMS ) guidelines
Assigns proper coding and creates narrative in the billing system to accurately report patient's condition and medical necessity
Reviews documentation to identify all supplies, medications and interventions provided
Verifies patient demographics, validates and determines insurance eligibility and primary source of payment
Reviews patient or representative signatures for completeness and compliance with the signature policy
Assigns proper modifiers based on origin and destination of trip, number of patients transported and medical necessity
Creates and mails patient statements, files primary and secondary insurance claims and provides medical records requested to process claims
Receives and resolves patient/insurance inquiries by phone or mail, answers any requests concerning patient accounts and resolves any customer service issues that may arise
Takes and posts payments by phone, mail or in person; accurately posts payments and credits to ambulance billing accounts
Reviews customer accounts and makes recommendations for customer and/or insurance refunds; reviews and refers unpaid balances to collection agency
Works aging reports to optimize cash flow; contacts insurance companies, patients, employers, etc. to resolve payment issues that require their assistance
Processes all patient and insurance correspondence received by mail to ensure timely filing
Processes Reviews insurance denials and submits necessary appeals for insurance reimbursement
Assures compliance with all relevant Federal, State and Local rules and regulations
Knowledge, Skills and Abilities
Must possess required knowledge, skills, abilities, and experience and be able to explain and demonstrate, with or without reasonable accommodations, that the essential functions of the job can be performed.
Criminal Background Investigation This position has been approved for a Criminal Background Investigation.
City of Austin is committed to compliance with the American Disabilities Act. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please call (512) 974-3210 or TTY (512) 974-2445.
Information For City Employees: If you are an employee within the department, are in good standing and meet both the minimum and preferred qualifications, then you will receive an initial interview.
Required fields are indicated with an asterisk (*).
* This position requires a High School Diploma or equivalent and a minimum of two years' experience with medical terminology, medical insurance and medical billing and coding principles and practices. Do you meet these minimum qualifications?
(Open Ended Question)
* Please explain your ability to multi-task and work in a challenging, fast paced environment while meeting deadlines.
(Open Ended Question)
* Please explain your knowledge of current insurance (Medicare, Medicaid, private insurance, Worker's Compensation) to ensure coverage and proper reimbursement.
(Open Ended Question)
* If identified as a top candidate, do you agree to a Criminal Background Investigation (CBI)?
Optional & Required Documents
Required Documents Optional Documents Cover Letter Resume
|Employer||City of Austin, TX|