Under direction, to lead and supervise a section of medical billing business office, with staff performing varied and complex medical billing accounting work, or other units performing similar work through subordinate supervisors with business office accounting functions of moderate complexity; and to do related work as required.
Positions in this class must be fully qualified and competent in medical billing and coding. Positions in this class differ from the lower class of Medical Billing Technician in that positions in the latter class are responsible for the recovery of costs for medical care through billing of patients, insurers, third party payers, or various medical aid programs whereas positions in the higher level class supervise medical billing business office units with varied functions of moderate accounting complexity. Incumbents may also perform complex technical accounting assignments generally related to medical billing.
Thorough Knowledge:
- Medical billing accounting methods, practices, terminology, and insurance claim processing procedures;
- Billing and patient accounting within practice management systems;
- Revenue cycle billing transactions and reconciliation processes;
- Business office organization, procedures and practices; and
- Record keeping systems using mathematical and analytical skills.
Working Knowledge:
- Basic medical and current procedural terminology;
- Pricing for health care services;
- EPIC or similar electronic health record system; and
- Governmental and private insurance programs.
Some Knowledge:
- Medical billing for federally qualified health centers;
- Workflow development for billing and medical support staff; and
- Coordination and testing for billing problem resolution within practice management systems;
Abilities:
- Plan, assign, supervise and coordinate the work of employees performing complex medical billing accounting functions;
- Devise and adapt work procedures and record keeping systems to meet changing needs;
- Troubleshoot errors related to billing activities;
- Understand, interpret and apply laws, rules and written and verbal directions;
- Research and apply legal requirements associated with medical billing practices and related accounting transactions;
- Use computerized systems to enter, retrieve and perform data analysis;
- Establish and maintain effective working relationships with all levels of medical, professional, administrative and support personnel contacted in the course of work;
- Write neatly and legibly;
- Spell correctly and use correct business English, Spanish may also be required.
TRAINING AND EXPERIENCE:
Any combination of training and experience, which would provide the required knowledge and abilities, is qualifying. A typical way to obtain the knowledge and abilities would be:
The equivalent of three years of full-time experience in the class of Medical Billing Technician or in an equivalent or higher clerical class performing medical billing or medical accounting in a County Health Services Agency or other similar environment;
Or
The equivalent of four years full time experience performing medical billing or medical accounts receivable functions;
And
Possession of one (1) of the following valid certifications (current): Certified Coding Specialist (all types) or Registered Health Information Administrator or Registered Health Information Technician or Certified Professional Coder (all types), or one year of similar experience in a medical setting outside of the County's medical services, or completion of an accredited medical billing and coding program at a college or institution of higher education.
SPECIAL REQUIREMENTS: Successful completion of a fingerprint background check.
Bargaining Unit: 41
EEOC Job Category: 03
Occupational Grouping: 10
Workers' Compensation Code: 0053