Emergency Medical Services (EMS) Billing Clerk - Part-Time at CITY OF PAPILLION in La Vista, Nebraska

Job Description:

POSITION TITLE: Emergency Medical Services (EMS) Billing Clerk - Part-Time
REPORTS TO: Executive Assistant
SUPERVISES: ----------

PURPOSE OF POSITION: Responsible for the detailed performance and maintenance of all facets of billing procedures for emergency medical services (EMS) for the City of Papillion. An incumbent in this position is also responsible for related clerical duties and administrative support functions in the daily operation of the department.

ESSENTIAL FUNCTIONS:
Responsible for ensuring the accurate and timely billing of Emergency Medical Services (EMS) for the citys Fire department; coordinates balance collections with other agencies to ensure timely payment of all accounts.
Determines appropriate billing to be utilized based on services performed; analyze documentation to determine proper CPT codes and diagnosis codes along with appropriate mileage to be charged; ensure bill is sent timely to avoid timely filing deadlines.
Utilize comprehensive practice management computer system to enter all data to electronically submit healthcare forms to payers and clearinghouses including Protected Health Information (PHI), status of bill and other pertinent information; utilizes a variety of computer software and programs pertaining to EMS Billing for the department.
Respond to records requests and Subpoenas while complying with Health Insurance Portability and Accountability Act (HIPAA) to protect the privacy and security of our patient data.
Applies payments to patient accounts. Reconcile discrepancies to ensure correct carriers are billed appropriately and patients are balance billed when appropriate.
Assists in preparing monthly billing reports to the Fire Chief, and Finance Director regarding current and annual statistics of services provided; prepares other reports as needed.
Obtains accurate insurance information from patient or receiving hospital, as needed; executes independent action or discretion to resolve problems/complaints encountered to receive insurance information; prepares W-9 and other certification forms for insurance carriers regarding services provided.

ESSENTIAL FUNCTIONS: (continued)
Performs administrative support functions requiring the exercise of independent judgment, strong attention to detail, and a knowledge of departmental policies and procedures.
Establishes and maintains a complex filing system by accurately filing EMS billing records and documents.
Attends meetings and conferences to keep abreast of current trends in EMS billing procedures.
Provides public records and information to citizens and other agencies upon the discretion of the Fire Chief and HIPAA Regulations.
Answers the telephone, takes messages and refers caller to appropriate source for assistance or provides information to callers, as needed.
Performs a variety of administrative duties such as keyboarding and computer tasks, including data entry, document formatting, photocopying, and managing digital files, as well as performing front desk and customer service duties.
Assists EMS Billing Clerk with additional billing and administrative tasks as assigned.
Operate and maintain standard office equipment in the performance of job duties, such as photocopiers, calculator, printers, fax machines and computers to support daily administrative tasks.
Establishes and maintains positive public relations with the general public, other employees, other governmental agencies and municipal officials.

Onsite Work Requirement: Physical presence at the assigned job location is an essential function of this role. This position requires onsite attendance during assigned working hours, with remote work arrangements unavailable. Management may consider exceptions under specific circumstances and in accordance with city policies.

MARGINAL FUNCTIONS:
Assists the Executive Assistant with administrative duties as assigned.
The job description is not designed to cover or contain a comprehensive list of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned.

ESSENTIAL KNOWLEDGE, EXPERIENCE AND ABILITY:
Knowledge of and ability to apply the procedures and techniques of coordinating EMS billing procedures and the transactions involved.
Knowledge of and ability to apply city, state and federal laws, policies and regulations which impact EMS record keeping, bookkeeping activities and financial transactions.
Knowledge of and ability to utilize record keeping/bookkeeping principles and procedures.
Knowledge of and ability to apply general principles of accounts receivable functions.
Knowledge of and ability to perform input and retrieval functions utilizing a variety of computer programs dealing with word processing, spreadsheet and databases.

ESSENTIAL KNOWLEDGE, EXPERIENCE AND ABILITY: (continued)
Knowledge of and ability to apply routine office procedures and standard clerical techniques.
Knowledge of and ability to perform accurate mathematical calculations such as addition, subtraction, multiplication and division, using a calculator, ten-key adding machine or manually.
Ability to learn and apply the procedures and practices of billing health insurance systems while protecting the patients PHI, along with following state statutes and the City code.
Ability to learn and apply city, state and federal laws, policies and regulations which impact EMS record keeping, bookkeeping activities and financial transactions.
Ability to learn the citys responsibilities and ability to use independent judgment in the performance of duties.
Ability to accurately prepare, analyze and maintain billing information, records and reports.
Ability to learn the various community resources and agencies available to the general public.
Ability to maintain the confidentiality of departmental communications, documents and transactions including PHI.
Ability to perform job duties efficiently while managing frequent interruptions.
Ability to accurately prepare and maintain various records, reports and other departmental documents.
Ability to plan and organize a personal work schedule, set priorities and meet deadlines.
Ability to operate and maintain standard office equipment such as photocopiers, printers, fax machines and computers to support daily administrative tasks.
Ability to perform keyboarding and computer tasks, including data entry, document formatting, and managing digital files, with the capability to efficiently navigate various software applications.
Ability to deal with the general public in a courteous and tactful manner.
Ability to understand and follow both oral and written instructions.
Ability to communicate effectively, verbally and in writing, in English.
Ability to establish and maintain effective working relationships with the general public, other employees, and municipal officials.
Ability to maintain regular and dependable attendance on the job.

ESSENTIAL EDUCATION, CERTIFICATION AND/OR LICENSES:
Must possess a valid drivers license at the time of hire.Must possess Associates Degree and/or successful completion of sixty (60) semester credit hours from an accredited college or university with major work in business administration or a related field, or an equivalent combination of education, training and experience.Must have at least one year of experience working with health insurance systems, Medicare, Medicaid, and appropriate billing procedures. Preferred experience level is two or more years.Must have experience in computer software for accounting, spreadsheets and word processing.Must be bondable.Must obtain the NAAC Certification, Certified Ambulance Coder (CAC) within the first year of employment and maintain that certification while employed by the City of Papillion.

ESSENTIAL PHYSICAL DEMANDS AND TYPICAL WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Work is generally performed indoors in an office setting and requires routine bending, lifting and carrying office supplies, books, files and other materials. The incumbent is required to frequently sit for extended periods of time, talk, hear and must have the ability to transport themselves to and from various locations within the Fire Station and City Hall. Hand-eye coordination is necessary to operate computers and various other pieces of equipment. While performing the duties, the incumbent is required to use hands to finger, handle, feel or operate objects, tools or controls and to reach with hands and arms. Work hours may occasionally be required in times of darkness. Vision abilities required include close vision and the ability to adjust focus. The noise level is usually quiet or moderate.
Work requires extensive interaction with the general public and may be stressful when dealing with citizens and/or meeting deadlines.