Clinic - Biller/Coder - PRMC Rural Health Clinic

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Pampa Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Located in the center of the Texas Panhandle, Pampa Regional Medical Center is a 25-bed critical-access hospital serving our communities with a full range of surgical and medical services. Pampa Regional Medical Center is certified by the Accreditation Commission for Health Care (ACHC) and has been recognized by the Leapfrog Group and Healthgrades for patient safety and was named among the "100 Top Hospitals" by IBM Watson Health in 2018. Pampa Regional offers key services to the community including heart care, emergency services, urgent care, surgical services and more. For more information visit www.prmctx.com.

The Biller is responsible for submitting claims to the appropriate intermediaries and to insure that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations. Responsible for obtaining required authorizations necessary for the processing and payment of claims. The Biller is responsible for the follow-up and denial management as necessary for final resolution. Responsible to identify the various types of diagnosis and procedures codes (ICD10, CPT, HCPCS, DRG) as they relate to reimbursement. Communicates clearly and efficiently by phone and in person with clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements. Operates computer to input follow up notes and retrieve collection and patient information. Maintains proficiency in Medical Terminology.

EDUCATION, EXPERIENCE, TRAINING

1. Previous Billing Experience within a Clinic/Medical Group Business Office Required
2. Previous experience with government programs and collections preferred
3. Experience with Rural Healthcare billing preferred
4. Experience with EMR/Practice Management billing software required
5. Knowledge of medical terminology
6. Effective written and verbal communication skills
7. Ability to prioritize needs to meet required timelines
8. Analytical and problem-solving skills
9. Customer Services experience required
10. High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)