Department: Health Dept.
Pay: $16.48 per hour.
Work Schedule: Monday – Friday, 8:00am – 5:00pm
Sedgwick County offers a comprehensive benefits package for full-time employees that includes health coverages, paid leave, regular compensation reviews, retirement plans, and professional development opportunities. For more detailed information, please visit our benefits page at SCBenefits.
The Health Department Patient Billing Representative provides billing support for clinical services provided to insured and uninsured clients. The Representative performs the day-to-day billing functions of the Sedgwick County Health Department in accordance with current acceptable accounting and cost reimbursement principles relating to health care and the Sedgwick County Department of Public Services Division. This position is within the Health Department Finance Program and works with staff, clients, and insurance companies regarding billing in Health Department programs such as Immunizations, Family Planning and Tuberculosis Control.
Perform reconciliation of Health billing and receivable accounts
- Respond to clients regarding billing questions and payments
- Preform predetermination of charges for clients including calculating sliding fee charges
- Reconcile bank deposits to the revenues recorded in SAP
- Processing refunds
- Research client EOB for accurate a payment allocation
- Reconcile payments with EOB recorded by billing company with revenues in SAP
- Prepare monthly journal entries
- Provide training to Health Department Fiscal Associates
- Audit patient accounts for aging claims
- Verify the charges, adjustments and revenue collected.
- Act as the Liaison between Health billing system, IT, Administrative Specialist and Medical staffs
Coding
- Verify accurate CPT codes
- Verify accurate payor on client accounts
- Audit Code compliance that all charges are included on claim
- Act as a liaison between insurance company and medical staff
- Review claims for accuracy, such as demographics and coding.
- Troubleshoot coding issues in the billing system
Provide financial, clerical, and administrative services of Health third party billing controls.
- Ensure daily payment information is sent to billing company.
- Review claims for accuracy, such as demographics and coding.
- Verify the charges, adjustments and revenue collected.
- Validate that claims go through the process to collect prior to sending the claim to the collection agency.
- Keep up to date records with State of Kansas Setoff program, updating information when payments are received.
- Authorization to retrieve patient Social Security numbers for set off.
- Confirm denied claims are supported by documentation; and no further action is needed revenue collection. Review denied claims and make necessary changes to receive payment.
- Prove removal of all claims from inventory listing are supported by payment/denials/write-off’s according to policy.
- Process customer refunds based on information provided by billing company.
- Confirm all claims are being worked in a timely manner within payor established timelines
- Acquires and maintain backup copies of electronic (EOB) details on all accounts.
Minimum Qualifications: High School Diploma or equivalent. 18 months of coursework in HealthCare billing and coding. Coursework can be substituted for related experience. One year office or administrative support. One year experience with Microsoft Suite or similar systems. In order to comply with the requirements of the federal health care staff COVID-19 vaccination mandate, all employees of COMCARE and the Health Department must be fully vaccinated. All offers of employment are contingent upon submission of vaccination documentation prior to start date.
Preferred Qualifications: Two years coursework from an accredited college in HealthCare Billing. Two years of experience in healthcare billing or related field.
It is the policy of Sedgwick County not to discriminate in its programs or services provided to the general public, including employment and all other activities, on the basis of race, color, religion, national origin, citizenship, sex, age, disability, veteran status or any other similarly protected status. Sedgwick County is committed to making the application, interview, and pre-employment testing process accessible to persons with disabilities. If you wish to volunteer information regarding any special assistance you may need, please notify Human Resources by phone at (316) 660-7050, TDD (Kansas Relay at 711 or 800-766-3777). Do not use this phone number for employment questions. This number is provided only for those requiring ADA assistance. You will be contacted should the department feel that you are a qualified candidate.