Practice Account Specialist I

Description JOB SUMMARY Practice Account Specialist is a multi-skilled person trained to facilitate medical practice charge entry and other accounts receivable activity. Practice Account Specialist assists patients, Practice Manager, Practice Coordinator, physician* and clinical staff to ensure operational efficiencies related to charge entry or other account receivable activities. ESSENTIAL DUTIES AND RESPONSIBILITIES Review all charge entry documents for complete information in preparation for entry into Context or Plus. Verify all necessary referral and authorization information is entered into system prior to charge entry. Verify and update demographics and insurance in the practice management system prior to charge entry or as needed. Post CPT-4, ICD-9-CM, ICD-10-CM and HCPCS codes by reviewing source documentation, coding policies and procedures and applicable carrier guidelines using Context or Plus, keeping a high level of accuracy. Key and release charges into the charge scrubbing system daily. Maintain a ‘check and balance’ system by comparing charges posted with the physician scheduled on a daily basis. Review and resolve context claim coding edits on a daily basis. Assist with the creation of Context rules for denial prevention as needed. Complete necessary paperwork for the creation of Context rules to aid in denial prevention. Resolve coding-related claim denials on a weekly basis. Communicate with physicians as needed to facilitate accurate coding and billing. Research coding issues and report to Practice Manager or VP of Operations. Resolve all outstanding items on the Missing Service Report (MSR) weekly. Collect all co-payments, deductibles and other monies owed at the time of service. Follow established protocol for receipt writing, cash collections, and nightly deposits. Attend all required training, coding seminars or monthly meetings as required. Complete deposit log at end of each day. Identify yourself to internal and external customers by wearing your identification badge at all times. Greet patients with courtesy and respect. Answer questions and direct requests appropriately and efficiently. Answer telephones promptly and in a professional manner according to MCC customer service standards. Operate computer within the guidelines of MCC. Comply with MCC policies as directed, carrier policies, and other protocols associated with the medical practice. Provide back up to the front office by functioning as a PSR III as needed. Other duties as assigned. CORPORATE CULTURE RESPONSIBILITIES Follow established corporate and department-specific policies and procedures. Attend all corporate and department-specific required training. Uphold MCC’s Purpose, Values, and Vision. Abide by MCC’s Corporate Culture Responsibilities. Perform other duties as may be assigned cheerfully and willingly. Requirements EDUCATION/EXPERIENCE REQUIREMENTS Minimum education requirement is high school diploma, or equivalent. Completion of an approved medical coding curriculum or 1+ years of recent coding experience. KNOWLEDGE, SKILLS AND ABILITIES Display customer services skills, strong interpersonal skills, close attention to detail, and excellent verbal and written communication skills. Be a person of integrity and character, willing to embrace change and make a positive impact in the lives of patients and co-workers. Ability to work with staff members at all levels of the organization in a cooperative, team-oriented manner. Displays computer proficiency (i.e. PC windows and MS Office environment) and ability to quickly learn new applications. Preferred ability of typing 40 cwpm. Proficient in use of English language both in written and verbal communication. Must be able to communicate with individuals of varying socio-economic backgrounds. Displays ability of giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times. Professional demeanor and recognition of privacy considerations for patients and families. Desire to advance coding skills/knowledge. Must possess high ethical standards in the field of medical coding. Must possess a basic understanding of the reimbursement process. PHYSICAL REQUIREMENTS OF THE ESSENTIAL JOB FUNCTIONS Strength (Lift/Carry/Push/Pull): Sedentary (exerting up to 10 pounds of force occasionally) Standing/Walking: Occasionally; activity exists up to 1/3 of the time Keyboarding/Dexterity: Frequently; activity exists from ¾ of the time Ability to look at a computer screen for extended periods. Ability to perform constant repetitive hands and finger motions. Ability to work in various positions (standing, sitting, bending, and walking) for extended periods of time. Ability to sit consistently during a minimum 8-hour workday. Talking (Must be able to effectively communicate verbally): Yes Seeing: Yes Hearing: Yes EMOTIONAL REQUIREMENTS OF THE ESSENTIAL JOB FUNCTIONS Must exhibit stable work behaviors daily. Must possess adequate individual coping skills. Ability to remain calm and professional regardless of workload or time constraints. Must be able to work under stress and remain calm and professional. WORK ENVIRONMENT Clinical office environment. Exposed to frequent and constant interruptions in daily functions/schedule. Must be available to customers and staff throughout the day. May be required to work extended hours to meet department needs.

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