This position represents the City of Cincinnati to customers and deals with patients, billing, and coding.
This experienced employee is responsible for processing, generating, and maintaining medical/dental billing; verifying patient information and demographics. The role also involves maintaining and obtaining required paperwork for processing medical/dental claims from health center services. The employee interacts with customers in person, by telephone, by email, or in writing while maintaining a high level of customer satisfaction. The employee performs more complex customer service tasks, including determining proper course of action for billing activities, authoring correspondence, researching and analyzing complex customer issues, and assisting supervisor with customer calls and issues referred for supervisor intervention. The employee may be assigned special projects and investigations. Performs related duties as required.
Knowledge of medical and dental billing (i.e., ICD-10 codes, ICD-9-CM, CPT and CDT codes and can translate CDT codes to CPT and ICD-9-CM codes. Medicare and Medicaid billing procedures and regulations, State and Federal program obligations, sliding fee scale, and private insurance billing practices. Principles and practices of mathematics. Principles of business letter writing and report preparation. Problem solving techniques Methods needed to gather relevant information from callers by asking appropriate questions. City of Cincinnati services and functions in order to refer complaints to the appropriate department or agency. Federal bankruptcy laws and related collection activities. Software applications used for customer service and billing functions. Safety policies and procedures, e.g., Employee Safety Instruction Manual and applicable agency requirements.
Skill to operate a computer utilizing the appropriate software related to assigned area of responsibility. Operate assigned vehicle. Input appropriate data into computer system utilized.
Ability to communicate effectively orally and in writing. Interpret and communicate to the public, City of Cincinnati policies and procedures, including the ability to match the appropriate policies and procedures to the particular jurisdiction for each call. Prepare clear and concise reports. Listen effectively. Interpret unclear or complex information and instructions. Determine the nature of a problem based on the caller's information and to make decisions concerning referral of messages with limited information. Research, investigate, and analyze issues as they occur. Organize work and follow directions, both oral and written. Read and interpret information provided in reference manuals, on computer printouts and spreadsheets and in staff meetings. Empathize with customers and communicate clearly in layman's terms. Handle difficult customers or situations in a calm and professional manner. Perform mathematical calculations. Work in a fast paced environment. Self-direct work within guidelines provided by supervisor. Apply problem solving techniques. Provide information and feedback to supervisor as needed for process development and improvement. Work independently. Use good judgment. Train and direct others.
RESUME, BILLING/MEDICAL CODER CERTIFICATION, AND A VALID DRIVER'S LICENSE MUST BE ATTACHED TO YOUR ONLINE APPLICATION OR APPLICATION WILL BE REJECTED. Each applicant must be Certified Billing/Medical Coder and have three years of experience as a Certified Medical/Dental Billing Coder. OTHER REQUIREMENTS Must have a valid Driver's License.