Job Details
Department: HEALTH
Pay: $16.54 per hour
Work Schedule: Monday - Friday 8:00 am - 5:00 pm
Sedgwick County offers a comprehensive benefits package for full-time employees that includes health coverages, paid leave, regular compensation reviews, retirement plans, and professional development opportunities. For more detailed information, please visit our benefits page at SCBenefits.
The Patient Billing Representative provides billing support for clinical services to support the Sedgwick County Health Department (SCHD) in their mission to prevent disease, promote wellness and protect the public from health threats. The Patient Billing Representative provides billing support for clinical services provided to insured and uninsured clients. The Representative performs the day-to-day billing functions of the Sedgwick County Health Department in accordance with current acceptable accounting and cost reimbursement principles relating to health care and the Sedgwick County Department of Public Services Division. This position is within the Health Department Finance Program and works with staff, clients, and insurance companies regarding billing in Health Department programs such as Immunizations, Family Planning and Tuberculosis Control. Employee will provide support during public health emergencies (Activation Level 1).
Perform reconciliation of Health billing and receivable accounts
* Respond to clients regarding billing questions and payments
* Preform predetermination of charges for clients including calculating sliding fee charges
* Reconcile bank deposits to the revenues recorded in SAP
* Research client EOB for accurate a payment allocation
* Reconcile payments with EOB recorded by billing company with revenues in SAP
* Prepare monthly journal entries
* Provide training to Health Department Fiscal Associates
* Verify the charges, adjustments and revenue collected.
* Act as the Liaison between Health billing system, IT, Administrative Specialist and Medical staffs
* Submit claims for Set off prior to the beginning of each year.
Coding
* Verify accurate CPT codes
* Verify accurate payor on client accounts
* Audit Code compliance that all charges are included on claim
* Act as a liaison between insurance company and medical staff
* Review claims for accuracy, such as demographics and coding.
Provide financial, clerical, and administrative services of Health third party billing controls.
* Ensure daily payment information is sent to billing company.
* Review claims for accuracy, such as demographics and coding.
* Verify the charges, adjustments and revenue collected.
* Validate that claims go through the process to collect prior to sending the claim to the collection agency.
* Keep up to date records with State of Kansas Setoff program, updating information when payments are received.
* Authorization to retrieve patient Social Security numbers for set off.
* Confirm denied claims are supported by documentation; and no further action is needed revenue collection. Review denied claims and make necessary changes to receive payment.
* Prove removal of all claims from inventory listing are supported by payment/denials/write-off's according to policy.
* Process customer refunds based on information provided by billing company.
* Acquires and maintain backup copies of electronic (EOB) details on all accounts.
Minimum Qualifications: High School Diploma or equivalent. 18 months of coursework in HealthCare billing and coding. Coursework can be substituted for related experience. 1 year office or administrative support. 1 year experience with Microsoft Suite or similar systems. Must complete Federal Emergency Management Administration (FEMA) IS 100 and 700 courses within 30 days of employment.
Preferred Qualifications: Two years coursework from an accredited college in HealthCare Billing. 2 years of experience in healthcare billing or related field.
It is the policy of Sedgwick County not to discriminate in its programs or services provided to the general public, including employment and all other activities, on the basis of race, color, religion, national origin, citizenship, sex, age, disability, veteran status or any other similarly protected status. Sedgwick County is committed to making the application, interview, and pre-employment testing process accessible to persons with disabilities. If you wish to volunteer information regarding any special assistance you may need, please notify Human Resources by phone at (316) ###-####, TDD (Kansas Relay at 711 or 800-###-####). Do not use this phone number for employment questions. This number is provided only for those requiring ADA assistance. You will be contacted should the department feel that you are a qualified candidate.