Patient Accounts Representative (Biller/Coder)

We’re different. In a good way. In communities like ours, co-workers and patients are our friends and neighbors. Sometimes they are family. And we take care of each other like family. If you’re tired of the typical workplace grind, we have something very different in store for you. Reasonable hours, a devoted team, a commitment to improvement, and believing in the value of every person – whether employee or patient – are just a few of the qualities for which we’re known. We’re a human potential company. Join us and experience the difference of the Desert Sage Way. We can’t wait to meet you.

Desert Sage Health Centers believes in patient-focused care delivered through a caring team of competent and caring health care professionals. As a Patient Centered Medical Home (PCMH), Desert Sage Health Centers prides itself in the quality of care it delivers to more than 7,800 annual patients at three health center site locations. Our integrated system emphasizes prevention, healthy living and is designed to reduce health care disparities and avoid unnecessary trips to emergency rooms or other more costly forms of care.

We are looking for an outgoing, compassionate, and hard working individual to join our dental team! If Desert Sage Health Centers and the Patient Accounts Representative position seems like a good fit, then please take a few moments to submit your application! 

Starting Wage: $18.25/hour (DOE)
Actual compensation will be based on experience and qualifications.
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Benefits include paid holidays, vacation, health and dental insurance. 

POSITION SUMMARY
The Patient Accounts Representative, a key position in the Revenue Cycle, manages the claims
process, including accurate and timely claim creation, follow-‐ up and correspondence with providers, insurance inquiries/correspondence. The Representative will assist in the clarification and development of process improvements and inquiries, assure payments related to patient services from all sources are recorded and reconciled timely in order to maximize revenues. Other important duties include enrollment processing, and reporting.

PRIMARY DUTIES AND RESPONSIBILITIES
 Billing and Claims -
• Prepares and submits clean claims to third party payers either electronically or by paper.
• Maintains relationship with clearinghouse, including appropriate follow-up with support issues.
• Coordinate the process of patient eligibility through various third-party sources.
• Coordinate collection process, to include any projects from Medisoft accounts and tracking current collections in eClinicalWorks.
• Field patient inquiries the Patient Registration staff need to escalate.
• Coordinate and administer policy and procedure for sliding scale.
• Work with patient registration staff, ensure appropriate collection of co-‐pay and self pay fees.
• Handles patient inquiries and answers questions from clerical staff and insurance companies.
• Identifies and resolves patient billing problems.
• Denial and insurance follow-‐up management.
• Issues adjusted, corrected, and/or rebilled claims to third party payers.
• Posts adjustments transfer of responsibility and refunds, as necessary.
• Assure coding is compliant and up to date.
• Reviews accounts and makes recommendations to the Patient Accounts Manager regarding non collectible accounts.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

 Reporting -
• Coordinate all non-‐ financial aspects of the UDS as requested. Assist Patient Accounts Manager with financial aspects and assemble data tables from the EHR.
• Provide accurate compliance reporting data, reporting through EOB queries as needed.

MINIMUM REQUIREMENTS:
• Knowledge of medical and/or dental billing and collection practices required.
• Strong keyboard skills.
• Works well in environment with firm deadlines; results oriented.
• Perform multiple tasks effectively.
• Able to work both independently and as part of a team.
• Strong analytical skills required.
• Capable of making timely, independent decisions.

TECHNICAL SKILLS:
• Previous medical billing experience including knowledge of billing related reporting; 3 -‐5 years’ experience in health-care billing & collection practices, preferably with an FQHC,
• Experience working with medical payers including Medicare, Medicaid, and commercial insurance,
• Working knowledge of medical billing systems,
• Experience with Medicare and Medicaid’s State Eligibility System,
• Working knowledge of CPT and ICD-‐10 coding systems; Coding certification preferred, but not required.
• A minimum of a GED is required, an Associate Degree from an accredited school is preferred,
• Excellent organizational skills, and
• Proficiency in Microsoft Office Suite

If you are self motivated, compassionate and ready to give back to your community, and have the necessary training, come join our team!

Desert Sage Health Centers provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.