Primary Job Functions:

• Provide support to the Business Office Manager in managing Accounts Receivable by providing meaningful statistics, benchmarks, and suggestions for process or policy improvement related to managing the revenue cycle and billing groups.
• Assist with the management of all aspects of 837/835 processing; including routine billing timelines, the posting of all electronic remittances, and implementing process improvements related to NextGen EHR/EMR.
• Provide billing support relating to Medicaid, Medicare, third-party payers, and specialty billing such as Substance Abuse and Mental Retardation via the Department of Mental Health.
  • Assist in submitting claims to all payers in a timely and efficient manner.
  • Automate manual billing processes when possible.
  • Create, maintain and monitor all pre-billing claim edit reports.
• Assist with the accounts receivable close-out process to ensure all charges are closed, and all claims are created. Also, ensure account balances have been appropriately worked and uncollectible amounts have been written off.
• Assist with self-pay bill creation and accounts receivable monitoring.
  • Statement processing; creation and mailing.
  • Timely follow up on delinquent accounts.
  • Appropriate calculation and recording of collections.
  • Notification delegation to interested parties.
• Maintain billing related files within NextGen EHR/EMR including additions, deletions, and modifications to existing files, as well as their relation to chargemaster, service codes, fees, cross references, insurance charge categories, guarantors, benefit plans, programs, units, rooms, beds, PPS functionality, posting codes, adjustment codes, transfer codes, analytics, and the inherent mapping of payer codes.
• Courteous and respectful towards consumers, visitors and co-workers.
  • Treats consumers with care, dignity and compassion.
  • Respects consumers’ privacy and confidentiality.
  • Is pleasant and cooperative with others.
  • Assists consumers and visitors as needed.
  • Personal values don’t inhibit ability to relate and care for others.
  • Is sensitive to the consumer’s needs, expectations and individual differences.
  • Is gentle and calm with consumers, families and others as appropriate.
• Administrative and Other Related Duties as assigned:
  • Actively participates in Performance Improvement activities.
  • Actively participates in AltaPointe committees as requested.
  • Completes assigned tasks in a timely manner.
  • Treats consumers with dignity and respect.
  • Works in a cooperative manner with other AltaPointe employees.
  • Follows AltaPointe policies and procedures.
  • Receives and responds to inquiries of accounting matters promptly and courteously.
  • Assists with performance of duties of other accounting staff in periods of absence.
  • Performs other duties as assigned.

Bachelor’s degree in business, or related field with a proficient understanding of the healthcare revenue cycle. Applicant must have working knowledge of Microsoft Excel and the ability to analyze and process large amounts of electronic data. Experience with Crystal Reports considered a plus. Technical writing skills and supervisory skills also considered a plus. One to three years working in healthcare is preferred.