Medical Billing Specialist III, 205, EMS Billing
City of Laredo, Laredo, TX, United States
Job Title
Leads daily activities involving billing claims to Medicaid, Medicare, and third party insurances. Submits claims electronically, ensures staff members are completing their daily tasks, and generates monthly reports.
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
English grammar, spelling, and punctuation
ICD-10, CPT, and HCPCS medical coding
Medicare, Medicaid, and private insurance guidelines
Health Insurance Portability and Accountability Act (HIPAA) guidelines
Medical terminology
Medical coding and billing
Basic accounting principles
Skills and Abilities:
Organization and time management.
Performing a variety of duties, often changing from one task to another of a different nature.
Critical thinking.
Conflict resolution.
Data entry.
Analysis.
Basic math.
Customer service.
Effective communication, both orally and in writing.
Establishing and maintaining effective working relationships.
Meeting schedules and deadlines of the work.
Maintaining the confidentiality of information and professional boundaries.
Preparing clear and concise reports.
Building and maintaining effective working relationships with others.
Maintaining good planning and organizational skills.
Taking and following directions from supervisor.
Giving directions to and gaining compliance from assigned staff.
Performing strenuous work and routine work.
Maintaining a valid Texas Driver License and a good driving record.
Projecting a positive and professional image of the City of Laredo.
Effectively communicating both orally and in writing in the English language and orally in the Spanish language.
Complying with all City of Laredo's policies and procedures.
Maintaining 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.
Proof of TB Test/Screening will be required to be presented prior to employment.
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.
As part of the minimum requirements for all positions with the City of Laredo, a thorough background check and certified school transcripts will be required from all applicants who are offered employment. Effective February 24, 1997, all selected applicants are required to undergo a drug and alcohol test prior to employment. Effective January 7, 2008, all persons in safety-sensitive functions/positions, as per City of Laredo Drug and Alcohol Policy definition, shall be subject to random drug and alcohol testing. A person with a disability who needs a reasonable accommodation related to a selection process is requested to contact the Human Resources Department at (956) 791-7480, two days prior to the scheduled interview and/or test if applicable.
City of Laredo is an Equal Opportunity/Affirmative Action/Pro Disabled and Veteran Employer. We welcome differences in the form of gender, race, ethnicity, disability, geography, socioeconomic status, age, politics, religion, philosophy, sexual orientation, or gender identity. All applicants who share this goal are encouraged to apply. Must be able to function in a principle-based organization that has a culture built on character and core values.
Leads daily activities involving billing claims to Medicaid, Medicare, and third party insurances. Submits claims electronically, ensures staff members are completing their daily tasks, and generates monthly reports.
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
English grammar, spelling, and punctuation
ICD-10, CPT, and HCPCS medical coding
Medicare, Medicaid, and private insurance guidelines
Health Insurance Portability and Accountability Act (HIPAA) guidelines
Medical terminology
Medical coding and billing
Basic accounting principles
Skills and Abilities:
Organization and time management.
Performing a variety of duties, often changing from one task to another of a different nature.
Critical thinking.
Conflict resolution.
Data entry.
Analysis.
Basic math.
Customer service.
Effective communication, both orally and in writing.
Establishing and maintaining effective working relationships.
Meeting schedules and deadlines of the work.
Maintaining the confidentiality of information and professional boundaries.
Preparing clear and concise reports.
Building and maintaining effective working relationships with others.
Maintaining good planning and organizational skills.
Taking and following directions from supervisor.
Giving directions to and gaining compliance from assigned staff.
Performing strenuous work and routine work.
Maintaining a valid Texas Driver License and a good driving record.
Projecting a positive and professional image of the City of Laredo.
Effectively communicating both orally and in writing in the English language and orally in the Spanish language.
Complying with all City of Laredo's policies and procedures.
Maintaining 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.
Proof of TB Test/Screening will be required to be presented prior to employment.
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.
As part of the minimum requirements for all positions with the City of Laredo, a thorough background check and certified school transcripts will be required from all applicants who are offered employment. Effective February 24, 1997, all selected applicants are required to undergo a drug and alcohol test prior to employment. Effective January 7, 2008, all persons in safety-sensitive functions/positions, as per City of Laredo Drug and Alcohol Policy definition, shall be subject to random drug and alcohol testing. A person with a disability who needs a reasonable accommodation related to a selection process is requested to contact the Human Resources Department at (956) 791-7480, two days prior to the scheduled interview and/or test if applicable.
City of Laredo is an Equal Opportunity/Affirmative Action/Pro Disabled and Veteran Employer. We welcome differences in the form of gender, race, ethnicity, disability, geography, socioeconomic status, age, politics, religion, philosophy, sexual orientation, or gender identity. All applicants who share this goal are encouraged to apply. Must be able to function in a principle-based organization that has a culture built on character and core values.