Job Description

Job Description

Job Description

Summary/Objective

We are a high-volume dermatology practice searching for a business office representative who either has a certification in medical coding or is studying to receive one in the near future. This listing is for a full-time hybrid position in our Richmond, VA office and may include a combination of medical coding, insurance and self-pay billing, self-pay collections, and medical records processing. The ideal candidate will be extremely detail oriented, an expert multitasker, and an independently motivated worker who takes initiative and has a strong desire to learn. This person will be working closely and collaboratively with our current team to reach shared professional goals and meet project deadlines.

Essential Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Proficiency in Veradigm medical software preferred. Experience using Microsoft Office Suite programs including Word, Excel, Teams, and Power Point required.
• Utilizes knowledge of CPT, ICD-10, HCPS coding guidelines plus all applicable federal, state, local, and payer specific directives to analyze and interpret patient medical records, encounter sheets and/or reports in order to assign, verify, and/or sequence accurate codes from the patient medical records.
• Identifies, analyzes, and resolves claim denial payment issues according to established departmental policies and independently resolves all coding associated payer denials by providing supporting medical documentation to the payer or correcting the internal claim error.
• Efficiently assists customers with patient billing inquiries. Identifies unpaid balances (insurance and patient) through A/R reports and takes appropriate actions.
• Generates revenue by making payment arrangements; collecting accounts; monitoring and pursuing delinquent accounts.
• Collects delinquent account balances by establishing payment arrangements with patients; monitoring payments; and following up with patients when payment lapses occur.
• Assists in reviewing accounts and preparing them for outside collections.
• Posts patient and insurance payments (including electronic payments) and performs daily reconciliation of payments.
• Communicates regularly with providers as needed to clarify documentation issues or other related issues pertaining to both coding and billing.
• Completes medical form requests, supplies patients with completed documentation, including but not limited to cancer policies and disability request forms.
• Issues billing statements and tracks payments for the release of medical records in accordance with federal and state guidelines.
• Follows procedures, protocols, and rules to perform job duties while adhering to policies set forth by the company.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Required Skills

1. Patient Care Focused
2. Ethical Conduct
3. Personal Effectiveness/Credibility
4. Technical Capacity
5. Time Management
6. Attention to Detail
7. Communication Skills
8. Collaborative Problem Solving

SupervisoryResponsibility
This role has no supervisory responsibilities. Employee reports directly to the Bookkeeping supervisor.

WorkEnvironment
After a 90-day probationary period this job will operate in a hybrid office setting where the employee will work every other day in the office/ at home. Employee will utilize standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines.

PhysicalDemands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

• This is largely a sedentary role.
• The employee is frequently required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.
• Perform tasks using simple hand grasping, fine hand manipulation and reach associated with assigned tasks such as paperwork, use of a computer and using general office equipment – fax machines, telephones, copiers, and scanners.
• Have a sufficient ability to communicate, through sight, hearing, and/or otherwise, to perform assigned tasks, and maintain proper job safety conditions.

Demonstrate cognitive ability to:

• Follow directions and routines
• Work independently with appropriate judgment
• Concentrate, memorize, and recall
• Identify logical connections and determine the sequence of response
  

Position Type and Expected Hours of Work
This is a full-time position. Days and typical hours of work are Monday through Thursday, 7:30 a.m. to 5 p.m. and Fridays 7:30 a.m. to 12:45 p.m.

Travel
No travel is expected for this position.

Required Education and Experience

• High school diploma or GED diploma.
• Knowledge of ICD-10, CPT and HCPCS.
• Must have experience with insurance follow-up on denials and appeals.

Preferred Education and Experience

• Three years of experience in the medical field.
• Certified Professional Coder certification or an associate’s degree in medical coding.

Additional Eligibility Qualifications
None required for this position.

Work Authorization/Security Clearance
Must be authorized to work in the United States of America. Must acknowledge and agree to the practice’s drug and alcohol policies and a criminal background check.

Dermatology Associates of Virginia is an Equal Employment Opportunity (EEO) employer.

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