Central Ozarks Medical Center (COMC) is excited to announce an opening for a Medical Biller at our Richland Administrative Offices. We are expanding our team to serve the needs of our community! COMC is a non-profit, federally qualified health center that serves more than 18,000 patients a year in Pulaski, Laclede, Camden and Miller counties.
COMC is looking for a team member who is comfortable working with patients from a diverse background. A successful candidate will be a motivated, self-starter able to quickly adapt to new and changing situations while maintaining a professional demeanor.
Responsibilities: Provide quality assurance for all revenue cycle processes of COMC in an efficient and effective manner, while following federal, state and private payor healthcare program requirements.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
• Uses coded data to produce and submit claims to insurance companies.
• Works directly with patients, healthcare insurance carriers and clinical staff to ensure revenue cycle integrity.
• Reviews and appeals unpaid or denied claims in a timely manner.
• Verifies patient insurance eligibility.
• Acts as a patient account representative.
• Handles collections and unpaid accounts
• Manages accounts receivable reporting.
• Manages month end procedures and processes.
Qualifications Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Education and/or experience: High school diploma or equivalent. Billing and coding certification or equivalent of two years’ experience in accounting. Must be able to operate a PC in a Windows environment. Able to type or keyboard 45 wpm preferred and ability to operate a calculator proficiently. Familiarity with CPT and ICD coding systems and medical terminology is desirable.
Language Skills: Ability to read, analyze, and interpret financial reports. Ability to respond to common inquiries or complaints from customers and regulatory agencies. Ability to effectively present information to top management.
Mathematical Skills: Ability to work with accounting concepts such as income and expense statements, budgets, and controls on cash such as into and out of COMC for deposit to the bank.
Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions, follow federal, state and health care regulations.
Other Skills and Abilities: Able to read and interpret technical bulletins and software documentation. Must possess very strong communications and interpersonal skills, good telephone personality and must like working with people. Able to work effectively in a fast-paced environment. Must have a willingness to learn, interpret and apply new skills and take direction from other team members. Able to organize information and manage time efficiently.
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. This includes moderate physical effort consisting of occasionally lifting or moving over 35 pounds of weight.
Travel Requirement: To fulfill the responsibility of the position travel to all COMC locations may be required. Employee must have valid Missouri driver’s license and availability of a motor vehicle.
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Knowledge of, and compliance with, HIPAA and 340B regulations is required. Confidentiality of patient information is mandatory.