COMMUNITY HEALTH CARE, INC. Position Description Position Title: Department: Supervises: Responsible to: OSHA Class: Last Reviewed: 2/27/05 Business Office Coordinator Finance Patient Accounts Representatives, Data-Entry Operators Director of Finance III POSITION SUMMARY: Under general supervision of the Director of Finance, performs routine billing and manages the functions of the Business Office. JOB SPECIFIC COMPETENCIES/ESSENTIAL FUNCTIONS/DUTIES & RESPONSIBILITIES: *1. Supervision: Supervises insurance clerks and data-entry operators and has direct responsibility for the billing functions. Responsible for training new staff and assigning duties. 2. Billing/Accounts Receivable Functions: *a. Ensures that patients' private billings are processed on a regular cycle. Coordinates the mailing of patient statements. *b. Ensures that billings to contracting agencies are completed as required. c. Works with the Revenue Specialist as needed in the area of past-due patient accounts and collections. *d. Maintains a general working knowledge of coding and posting, including ICD-9-CM and CPT-4. Assures that services and diagnoses are properly coded per applicable national, state and local thirdparty requirements. e. Appeals insurance claims that have been denied or down-coded. f. Follows up on second and third-party billings on a regular basis. *g. Assists with patient phone calls as needed. Computer System Functions: Maintains detailed knowledge of receivables program, including posting, fixing errors in posting, and insurance and billing systems. Assures that data entry staff performs multiple back-up to maintain CHC's data base in event of emergency. Accounting Functions: a. Prepares daily deposit slips for payments received and takes deposit to bank. *b. Balances cashier's daily cash boxes and balances cash collected with receipt slips. *3. 4. Demonstrates an understanding of the importance of CHC’s Mission Statement in performing all aspects of this position. *6. Demonstrates a caring and helpful attitude when interacting with patients, vendors, and fellow employees. Strives to build cooperative partnerships, by treating each person both inside and outside of the organization as a customer. *7. Ability to establish and maintain effective working relationships with other clinic personnel. *8. Handles confidential information with tact and discretion on a need-to-know basis as specified in CHC’s Personnel Policies. *9. Participates in maintaining departmental continuous quality improvement. *10. Follows established policies and procedures for safety, infection and exposure control. 11. Performs other functions as directed. POSITION REQUIREMENTS *5. Age Specific Competencies: _____ Perinatal _____ Pediatric Education: Licensure: Experience: Hours of Work: Adolescent Adult X Geriatric N/A All High school graduate with additional college-level accounting courses None Prefer a minimum of two years supervisory and medical billing experience, and knowledge of general office procedures. 8am-5pm Monday thru Friday Position Status Exempt Travel: As required Exposure: Norman office environment. May view computer screens for long periods of time. Physical: Work requires hand dexterity of office machine operation, stooping and bending to files and supplies, mobility to complete errands, or sitting for extended periods of time. I have reviewed this position description and understand the competency and performance expectations of my employment: Employee Signature Date I have reviewed this position description, including all position & age-specific competencies, with the employee: Supervisor Signature Date I have reviewed this position description with the supervisor and employee and believe it to be a true representation of the work to be performed by the employee: Signature of Human Resources Director Date