JOB DESCRIPTION POSITION

Central Processing Clerk (CPC)

SUPERVISOR

Central Processing Manager (CPM)

CAACC Mission Statement:

To strengthen the community, foster well-being and promote self-sufficiency.

CAA Health, Behavioral Health and Dental Centers' Mission Statement:

To provide safe, high quality, comprehensive and affordable health, behavioral health and dental care to our community.

JOB SUMMARY

The Central Processing Clerk works under the direction of the CPM of the health and dental centers. The CPC will accurately bill patients and/or insurance companies, as well as maximize payment amounts in turn-around time.

SPECIFIC DUTIES

ESSENTIAL

FUNCTIONS

Handle all insurance claims and billing policies Process charges daily Maintains working knowledge of CPT-4 and ICD 10 coding to legally maximize reimbursement Process claims daily Post all insurance payments on a daily basis Maintain monthly accounts receivable over 30, 60 and 90 days assuring that the overdue accounts are addressed according to the policies and procedures Remedy any previously approved insurance claim that has subsequently been denied Resubmit/Rebill any unpaid claims Mail all patient statements at least monthly Based on policies, make decisions to pre-list for bad debt write off Reconcile credit card batches daily (web based cc processing) Collect delinquent accounts by establishing payment arrangements with patients; monitoring collections; and compiling information Keep collection information confidential Handle all patient complaints regarding billing in a timely and consistent manner Maintain the compliance of the department with the local, state and federal law Collect delinquent accounts by establishing payment arrangements with patients; monitoring collections; and compiling information Maintain work operations by following policies and procedures/reporting compliance issues Maintain quality results by following standards Update job knowledge by participating in educational opportunities Enhance billing department by accepting ownership for accomplishing new and different requests; explore opportunities to add value to job accomplishments

COMPUTER SYSTEM RESPONSIBILITIES

Enter all charges and credits daily Transmit all insurance claims as instructed Keep user IDs and passwords protected and secure

ESSENTIAL SKILLS AND ABILITIES

Handle patient phone calls compassionately and efficiently Work well and get along with co-workers Take initiative to complete projects in a timely manner

OTHER DUTIES

Attends mandatory staff meetings Completes compliance trainings in a timely manner Serves on committees and assists other directors and/or managers as requested Any other duties assigned

REQUIRED JOB QUALIFICATIONS

High school diploma or equivalent Two years medical billing experience in a medical office

ADDITIONAL REQUIREMENTS AND CONDITIONS OF EMPLOYMENT

Adhere to and implement the agency's mission and goals Successfully complete background check including Ohio Bureau of Criminal Investigation, Medicare exclusion list, verification of valid driver's license, employment medical exam, including a TB test, and any other screening/testing required by CAA policies/procedure and/or requirements of all funding sources. CAA is a drug/alcohol-free and smoke-free workplace and post-offer drug and alcohol testing is required. Ability to work in several locations with diverse staff Must have an insurable driver's license and be bondable Obtain continuing education course and training as required to update knowledge and skills to assure continued efficiency 90-day probationary period

PHYSICAL/EVIRONMENTAL REQUIREMENTS

Ability to lift/carry up to 25 pounds Ability to push, pull, carry, lift, bend, twist, reach, sit, stand for lengthy periods of time; ability to walk for extended periods of time Ability to work in a fast-paced and often high-stress environment as well as the ability to adapt quickly to workload changes Ability to deal with inside and outside clientele in a diplomatic and courteous manner while assuring adherence to CAA policies/procedures Above-average oral, reading and writing skills to accurately operate relevant computer programs, perform necessary documentation and effectively communicate

WORKING CONDITIONS

Various noises associated with a busy clinical setting. Numerous interruptions. Constantly changing medical environment. Ability to comply with the changing requirements of the funding sources. Ability to consistently meet deadline requirements. Ability to remain calm and cheerful under stressful working conditions

Job Type:

Full-time Pay:

$13.00 - $16.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Health savings account Life insurance Paid time off Vision insurance Application Question(s): Are you able to pass a background check and a drug and alcohol test?

Education:

High school or equivalent (Required)

Experience:

Medical Billing:

2 years (Preferred)

Work Location:

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