Medical Billing Specialist III, (A262913-1), 205, EMS Billing

Job Description

Essential Functions/ Job Competencies/ Physical Requirements

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by employees in this job. Employees may be requested to perform job-related tasks other than those specifically presented in this description.

• Submits claims electronically for different services for adjudication.
• Communicates claims denial and appeals and posts payments.
• Leads and guides the work of subordinate staff.
• Generates monthly reports for finance.
• Conducts internal audits of the department.
• Provides training on cash handling.
• Will be required to drive a City vehicle for City business use.
• Performs other duties as assigned.

• Knowledge of modern office procedures and methods including computers and applicable software
• Knowledge of English grammar, spelling, and punctuation
• Knowledge of ICD-10, CPT, and HCPCS medical coding
• Knowledge of Medicare, Medicaid, and private insurance guidelines
• Knowledge of Health Insurance Portability and Accountability Act (HIPAA) guidelines
• Knowledge of medical terminology
• Knowledge of medical coding and billing
• Knowledge of basic accounting principles
• Skills and Abilities:

• Skill in organization and time management.
• Skill in performing a variety of duties, often changing from one task to another of a different nature.
• Skill in critical thinking.
• Skill in conflict resolution.
• Skill in data entry.
• Skill in analysis.
• Skill in basic math.
• Skill in customer service.
• Ability to communicate effectively, both orally and in writing.
• Ability to establish and maintain effective working relationships.
• Ability to meet schedules and deadlines of the work.
• Ability to maintain the confidentiality of information and professional boundaries.
• Ability to prepare clear and concise reports.
• Ability to build and maintain effective working relationships with others.
• Ability to communicate clearly and effectively both orally and in writing.
• Ability to maintain good planning and organizational skills.
• Ability to take and follow directions from supervisor.
• Ability to give directions to and gain compliance from assigned staff.
• Ability to perform strenuous work and routine work.
• Ability to maintain a valid Texas Driver License and a good driving record.
• Ability to project a positive and professional image of the City of Laredo.
• Ability to effectively communicate both orally and in writing in the English language and orally in the Spanish language.
• Ability to comply with all City of Laredo's policies and procedures.
• Ability to maintain good health and physical condition sufficient to permit the full performance of the duties of this position.

WORK ENVIRONMENT/CONDITIONS AND PHYSICAL DEMANDS

Physical Effort Requirements Position will have the following exposures

• Office or similar indoor environment, relatively free from unpleasant environmental conditions or hazards.
• Occasional exposure to unpleasant environmental conditions and/or hazards. Occasional outside work.
• Frequent exposure to unpleasant environmental conditions and/or hazards. Majority of work performed outside or with exposure to risk.
• Exerting up to 10 pounds of force occasionally, a negligible amount of force frequently, and/or constantly having to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.
• Exerting up to 100 pounds of force occasionally, up to 50 pounds of force frequently, and/or up to 20 pounds of force constantly having to move objects.

Work Environment Locations Position will require the employee to work in the following types of work environments

Never

• Outdoor environment
• Street environment (near moving traffic)
• Construction site
• Vehicles
• Warehouse environment

Often

• Office or similar indoor environment
• Confined space

Exposures Position will require the employee to be exposed to the following environmental elements

Never

• Extreme cold (below 32 degrees)
• Moving mechanical parts
• Toxic or caustic chemicals or substances
• Loud noises (85+ decibels such as heavy trucks, jack hammers, construction)

Seldom

• Individuals who are hostile or irate
• Individuals with known violent backgrounds
• Extreme heat (above 100 degrees)
• Fumes or airborne particles

Sometimes

• Communicable diseases

Travel Position will require the employee to travel

Never:

• Local travel
• Regional travel
• National travel
• International travel

Minimum Qualifications

Required Education and Experience

• High School diploma or G.E.D. equivalency.
• Three (3) years’ experience in medical billing or related experience.

Valid Licenses and Certifications

VALID LICENSES AND CERTIFICATIONS

• Medical Billing & Coding Certification. (Must attach a copy of the certification to your application.)
• Valid Texas Driver License. If applicant holds an out-of-state license, a State of Texas Driver License must be obtained within 6 months of employment.

• 10 days of paid vacation per year
• 6 1/2 days sick leave per year
• Pension plan
• 16 paid Holidays
• Paid health*
• Dental plan*
• Life insurance*

• 30 day waiting period