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EMPLOYMENT
TERM Billing, Inc Job Descriptions


The below descriptions are for each position at TERM Billing, these postings do not indicate that the position is currently open.


**Please note that the descriptions pose solely as a summary of the duties and qualifications required for those positions; additional duties and qualifications may be required for each of the positions.


Chart Processing Department:
Account Information Manager


Description:
The Account Information Manager is responsible for overseeing and maintaining smooth and efficient operations of the Chart Processing Department. They must see that Chart Processing deadlines are met by working with the Account Information Coordinator to ensure constant and adequate work and chart flow between Chart Processing and other departments. In some cases, the Account Information Manager will need to process charts in order to meet deadlines. The Account Information Manager develops and implements the policies and procedures for the department to follow. They are responsible for schedule tracking, reviewing productivity and quality performance, and monitoring incomplete chart volume and age. The Account Information Manager communicates with satellite employees on a daily basis. They also act as a liaison between TERM and key Health Information personnel at the facilities, which they travel to on a regular basis.


Qualifications:

  • Management Experience
  • Insurance or Hospital background preferred
  • Excellent Communication Skills
  • Professional
  • Excel Spreadsheets
  • Detail Oriented
  • Organizational Skills
  • Willing to Travel


Account Information Coordinator


Description:
The Account Information Coordinator is responsible for training all new employees as well as providing on-going training to existing staff and maintaining the work flow of all employees within the department. The Account Information Coordinator answers staff questions. They also identify trends and works with the Account Information Manager to develop resolutions to problem areas identified via the monitoring report process.


Qualifications:

  • Insurance or Hospital background preferred
  • Excellent communication skills
  • Multi-task Oriented
  • Ability to meet deadlines
  • Organizational Skills
  • Computer Literate
  • Professional
  • Supervisory Experience


Chart Processor and Satellite Chart Processor


Description:
The Chart Processor is responsible for assembling charts for their assigned hospital. They also process these charts which include identifying physician numbers, notating time and identifying appropriate billing information. The Chart Processor must meet scheduled deadlines and communicate well with management and other office personnel. If the Chart Processor is located at a Satellite Office, they will be working in or near our client's facility and must possess the ability to interact with physicians, work well with little or no supervision and meet assigned deadlines. Additionally, the Chart Processor at a Satellite Office is responsible for gathering missing chart information from the facility or physicians and forwarding the information to the corporate office for processing.


Qualifications:

  • Insurance or Hospital background preferred
  • Ability to sit for long periods of time
  • Good communication skills
  • Proper Telephone Etiquette
  • Organizational Skills
  • Computer Literate
  • Professional
  • Dependable
  • Ability to work with very little supervision
  • Have transportation for pick-up from the Hospitals or be Hospital based (Satellite Chart Processor only)


Information Distribution Services Department:
Information Distribution Services (IDS) Manager


Description:
The IDS Manager oversees the day to day workflow of the IDS Coordinator, Patient Service Representatives, File Clerks, Mailroom Attendant and the Afternoon Clean-Up Clerk. The IDS Manager is responsible for conducting all department employees’ reviews. They are responsible for creating and updating all departmental procedures. In addition, the IDS Manager handles escalated calls as well as patient concerns which are addressed either by mail or over the phone. They are responsible for the coordination of accounts between the collection agency and the clients. They are also responsible for overseeing the retrieval of data for special projects as well as the maintenance and updates to TERM's telephone system.


Qualifications:

  • 2 Years Management Experience
  • Multi-Line Telephone Experience
  • Insurance Knowledge
  • Multi-Task Oriented


IDS Coordinator


Description:
The IDS Coordinator trains all new employees of the IDS department as well as conducts the quarterly audits for the Patient Service Representatives. The Coordinator is the first tier in resolving calls requesting a higher level of authority and is responsible for covering the tasks that are required to maintain the daily workflow when an IDS employee is absent, including the IDS Manager. In addition, the Team Lead assists with answering any questions from the IDS department employees.


Qualifications:

  • 2 Years Patient Service Experience
  • Multi-Task Oriented
  • Multi-Line Telephone Experience
  • Some Knowledge of Insurance
  • Proper Telephone Etiquette
  • Typing Skills Preferred


Patient Service Representative (PSR)


Description:
The Patient Service Representatives are responsible for assisting in resolving patient account issues that are addressed via the telephone. The PSR's process returned mail, legal correspondence, bankruptcies, medical record requests and other correspondence as necessary. They are also the first contact to all of TERM's vendors and visitors.


Qualifications:

  • Multi-Line Telephone Experience
  • Bilingual Preferred
  • Typing Skills Preferred
  • Ability to Sit for Prolonged Periods of Time
  • Multi-Task Oriented
  • Proper Telephone Etiquette


Scanner/File Clerk


Description:
The Scanner/File Clerk is responsible for maintaining the filing, retrieving and storage of Charts and Correspondence (EOBs). The File Clerk is responsible for retrieving "unfound" charts and retrieving charts for the Research department employees. The File Clerk is responsible for retrieving documents from the storage area and assisting with the incoming mail as required.

  • Retrieve EOB as needed for 2ndary billing to Insurance
  • Retrieve copies of dictation for billing to WC carriers
  • Retrieving requested charts from Research and Coding Employees
  • Filing charts in cabinets that were previously requested
  • Setting up the drawers, in Cabinets, for current EOBs and Charts
  • Boxing "old" Charts and EOBs and bringing to Storage
  • Retrieving Requests for Charts/EOBs from Storage Facility
  • Assists with Processing Incoming Mail
  • Scan and Index all incoming records including EOBs and charts.


Qualifications:

  • Able to lift 40 pounds
  • Perform Physical Labor
  • Multi-Tasked Oriented
  • Reliable Transportation for Metroplex Deliveries and Retrievals
  • Self-Motivated
  • Ability to Work With Cleaning Products


Afternoon Clean-Up


Description:


The Afternoon clean up clerk is responsible for retrieving the recycling, on a daily basis, of TERM employees. The Afternoon clean up clerk is responsible for minor maintenance, clean up, stocking of paper in copiers and setting up coffee for the company.

  • Recycle
  • Clean Up: Kitchens/Breakroom/Cyberstations
  • Retrieval and Disposal of Garbage
  • Setting Up Coffee Pots for next business days coffee
  • Insuring eating utensils are stocked
  • Notifying IDS Management when supplies run low
  • Cleanliness of Atriums
  • Assisting File Clerk


Qualifications:

  • Able to lift 40 Pounds
  • Multi-Task Oriented
  • Self-Motivated
  • Able to use cleaning products


Mailroom Attendant


Description:

The Mailroom attendant is responsible for processing all of the incoming and outgoing mail of the company. The outgoing mail includes 1500s and statements. The Incoming mail includes payments from patients and insurance, correspondence from patients and insurance and mail for employees of company.


Qualifications:

  • Multi-Task Oriented
  • Self-Motivated
  • Ability to Work with Little Supervision
  • Detail Oriented
  • Ability to Process a High Volume in a Specific Period of Time


Physician and Information Services Department:

Physician Information Manager


Description:
The Physician Information Manager manages the day-to-day work flow of the EFCs, Report Processor, Credentialing Clerk, and EMC Billing Clerk. They complete quarterly monitoring reports on the employees in the Physician and Information Services Department as well as their employee reviews. The Physician Information Manager oversees the maintenance and development of TERMWare, TERM's proprietary software. They also create, or oversee the creation of, custom crystal reports, Access Databases and Excel spreadsheets for internal or external use. In addition, the Physician Information Manager maintains the client user's access levels to TERM Billing's website and acts as a liaison between TERM and the IT departments of the client's hospitals in efforts to create needed electronic interfaces.


Qualifications:

  • 2 years Management Experience
  • Advance Excel Skills
  • Advance Crystal Reports Skills
  • Access Knowledge
  • SQL Knowledge Preferred
  • Physician Credentialing Experience
  • Electronic Billing Experience
  • Excellent Communication Skills
  • Organizational Skills
  • Multi-Task Oriented


Credentialing Coordinator


Description:
The Credentialing Coordinator aids the Physician Information Manager in overseeing the Physician and Information Services Department. Their main duties include credentialing physicians with government and managed care programs. They make sure that the credentialing process is completed in a swift manner and has direct contact with providers and clients throughout the process to keep them informed of issues and status. In addition, they must continuously research credentialing topics so they stay up to date on the latest policies and regulations.


Qualifications:

  • 2 Years Physician Credentialing/Enrollment Experience
  • Supervisory Experience Preferred
  • Organizational Skills
  • Excellent Communication Skills
  • Multi-Task Oriented
  • Detail Oriented


Provider Enrollment Specialist


Description:
The Provider Enrollment Specialist aids the Credentialing Coordinator in credentialing physicians with government and managed care programs. They make sure that the credentialing process is completed in a swift manner and has direct contact with providers and clients throughout the process to keep them informed of issues and status. In addition, they must continuously research credentialing topics so they stay up to date on the latest policies and regulations.


Qualifications:

  • 1 Year Physician Credentialing/Enrollment Experience
  • Organizational Skills
  • Excellent Communication Skills
  • Multi-Task Oriented
  • Detail Oriented


Electronic File Clerk


Description:
The Electronic File Clerk (EFC) accesses each hospital's electronic system and converts the scanned charts, which are in various formats, to a PDF file. During this process, they must put the new file in the correct location as well as being careful to name the file correctly so that it will be accessible through TERMWare. Some charts that come in paper format must be scanned in and saved to PDF format. If time permits, EFC assists in other areas of the Physician and Information Services Department with special projects.


Qualifications:

  • Detail Oriented
  • Multi-Task Oriented
  • Basic Computer Knowledge (How to create folders, files, etc)


Report Processor


Description:
The Report Processor is responsible for generating the End of Month reports for all of TERM's clients. They must validate that all of the necessary reports have been created and are correct before forwarding them to the clients. The Report Processor also creates custom reports in Excel or Crystal Reports for internal and external use. When needed, the Report Processor creates and updates Access Databases for various TERM departments to help improve efficiency.


Qualifications:

  • Advance Excel Skills
  • Advance Crystal Reports Skills
  • Access Knowledge
  • SQL Knowledge Preferred
  • Detail Oriented
  • Ability to Meet Deadlines


EMC Billing Clerk


Description:
The EMC Billing Clerk generates and transmits all electronic claims as well as patient statements daily. They work as a liaison between TERM and TERM's clearinghouse. The EMC Billing Clerk researches any issues that arise with electronic billing including updates and changes to formats and regulations. In addition, they retrieve and distribute any rejected claim notices. When time permits, the EMC Billing Clerk assists in other areas of the Physician and Information Services Department with special projects.


Qualifications:

  • Electronic Billing Experience
  • Knowledge of Electronic Billing Formats Preferred
  • Organizational Skills
  • Knowledge of the Billing and Payment Process


Data Entry Department:
Data Entry Manager


Description:
The Data Entry Manager oversees the day to day workflow of the Data Entry Department. They must ensure that all Data Entry deadlines are met. The Data Entry Manager must be available to address any questions or concerns an employee may have and maintain a positive morale and a pleasant work environment for the department. In addition, they are responsible for completing employee reviews, quarterly monitoring reports and training for the Data Entry Department.


Qualifications:

  • 2 Years Management Experience
  • Typing Speed of 70 wpm Required
  • 10-Key by Touch
  • Insurance Background and/or Knowledge
  • Organizational Skills


Data Entry Operator


Description:

Data entry employees are responsible for accurate data entry of demographic information, diagnosis codes, and procedures codes for patients of assigned hospitals according to an Input Schedule provided by the Data Entry Manager. They are responsible for balancing all charges and other pertinent information which has been defined by the client as pertains to that particular hospital.


Qualifications:

  • Typing Speed of 65 wpm Required
  • 10-Key by Touch
  • Insurance Background and/or Knowledge Preferred
  • Ability to Sit for Long Periods of Time
  • Ability to Stay Focused in an Office with Other Employees
  • Organizational Skills
  • Dependable
  • Ability to meet schedule


Coding Department:
Coding Manager


Description:
The Coding Manager is responsible for overseeing and maintaining smooth and efficient operations of the Coding Department. They must see that Coding deadlines are met by working with the Coding Coordinator to ensure constant and adequate work and chart flow between Coding and other departments. In some cases, the Coding Manager will need to code charts in order to meet deadlines. They must also research and implement correct coding guidelines to assist Coders in utilizing codes and modifiers properly as well create and update the coding department Policy and Procedure manual when such guidelines change. The Coding Manager must communicate these new coding procedures and any other departmental information to Coders. They must review reports and communicate any pertinent information to Physicians to assist them in documentation to meet compliance requirements. The Coding Manager must be available to address employee questions and concerns as well as maintain a positive morale and a pleasant work environment. They are responsible for creating and delivering the coding department employee reviews and performing quarterly monitoring reports which includes reviewing any feedback received from other departments regarding individual coders. The Coding Manager is responsible to ensure employees follow all policies and procedures set by the company and take all necessary disciplinary actions.


Qualifications:

  • Ability to Work as a Liaison between Physicians and Coders as well as Client and Third Party Payer.
  • CPC, CPC-H, RHIT, or CCS Certified
  • 2 Years Management Experience
  • Effective Communicator
  • Ability to Meet Deadlines and Work Effectively Under Pressure
  • Proficient in the Use of


Coding Assistant Manager


Description:
The Coding Assistant Manager is responsible for constructing systems as well as policies and procedures for maintaining and monitoring the Quality Assurance of the Coding Department. These procedures will evaluate the accuracy and consistency of coding by ongoing internal coding monitoring studies. The Coding Assistant Manager will achieve the above, while maintaining a code of conduct and pipeline of communication that assures adherence to compliance guidelines. They also conduct studies of internal reports to research and identify areas of coding or physician trends such as documentation issues, in which case they will implement a plan of action if needed.


Qualifications:

  • CPC, CPC-H, RHIT, or CCS Certified
  • Positive effective communicator, both written and verbal
  • Ability and willingness at all times, to support the management team
  • Ability to Work as a Liaison between Physicians and Coders as well as Client and Third Party Payer
  • 2 Years Supervisory Experience
  • Organizational Skills
  • Ability to Meet Deadlines and Work Effectively Under Pressure
  • Proficient in the Use of Spreadsheets
  • Ability to Multi-Task


Coding Coordinator


Description:
The Coding Coordinator is responsible, together with the Coding Manager, for the efficient and smooth operation of the Coding Department. They assist the Coding Manager and Department Coders in meeting coding deadlines by coordinating chart and work flow. They must stay current and help implement policies and procedures regarding coding compliance issues. The Coding Coordinator researches any coding questions or issues that arise. They also assist in the training and quality assurance monitoring on new coders.


Qualifications:

  • CPC or Comparable Certification
  • 2 Years Supervisory Experience
  • Proficient in Spreadsheets
  • Organization Skills
  • Ability to Multi-Task
  • Ability to Effectively Communicate


Coder


Description:
Coders are responsible for the accurate and timely coding of ICD-9 diagnostic codes and CPT procedural codes for patient charts. Coders must use proper application of coding guidelines as well as internal policies. They must meet deadlines according to the Coding Schedule which is provided by Coding Management.


Qualifications:

  • CPC or Comparable Certification Preferred
  • Or 2 Years Coding Experience
  • Detail Oriented


Payments Department:
Reimbursement Manager


Description:
The Reimbursement Manager is required to expedite and oversee the efficient operations of the Payment Department and ensure proper payment posting which complies with all local, state and federal guidelines including payment posting, adjustments, denials, over payments, and refunds. The Reimbursement Manager must ensure proper communication and documentation with Clients and Client Representatives. They are also responsible for the education of the Payment Department Employees with continuous training, implementation of policies and procedures, and ensuring that Quarterly monitoring reports are completed on each employee. The Reimbursement Manager conducts the Payment Department employee reviews as well as monitors the department to ensure compliance with all company policies and procedures. In addition, the Reimbursement Manager is responsible for taking all necessary disciplinary actions including but not limited to reprimands and terminations.


Qualifications:

  • 2 Years Management Experience
  • Detailed Oriented
  • Positive and Effective Communicator
  • Good Decision Making Skills
  • Ability to Delegate
  • Ability to Handle Employee Conflicts
  • 10 Key by Touch
  • Proficiency in Excel, Microsoft Word, Quick Book, and Microsoft Outlook
  • Basic Accounting Skills


Reimbursement Coordinator


Description:
The Reimbursement Coordinator supports the Reimbursement Manager in overseeing the daily functions of the Payment Department which includes ensuring proper payment posting that complies with all local, state and federal guidelines, including payment posting, adjustments, denials, overpayments, and refunds. They are responsible for the daily work flow of the payment department and overseeing all training of new employees as well as assisting with any questions and feedback to the employees.


Qualifications:

  • Detailed Oriented
  • Supervisory Experience
  • Positive and Effective Communicator
  • Good Decision Making Skills
  • Ability to Delegate
  • Ability to Handle Employee Conflicts
  • 10 Key by Touch
  • Proficiency in Excel, Microsoft Word, Quick Book, and Microsoft Outlook
  • Basic Accounting Skills


Refund Clerk


Description:
The Refund Clerk is responsible for the accurate reimbursement of all negative balance accounts to include overpayments by insurance carriers and patient pays as well as recoups, and refund request from carriers. They must research each account for accuracy to ensure proper credit is given. The Refund Clerk processes credit card payments with the designated Credit card company. They also research all non-sufficient funds and stop pay checks. The Refund Clerk must ensure that the proper documentation is forwarded to the Reimbursement Manager so that the accurate information is distributed to the Clients and Client Representatives.


Qualifications:

  • 10 Key by Touch
  • Medical Terminology
  • Insurance Experience
  • Accounting and Managed Care Knowledge is Preferred
  • Detail Oriented
  • Well Organized
  • Self-Motivated
  • Ability to Work Alone with Little or No Supervision
  • Quick Books and Excel Preferred


Payment Clerk


Description:
The Payment Clerk is responsible for accurately and effectively posting daily payments, adjustments and processing denials in a manner that is compliant with all local, state and federal guidelines. They are also responsible for completing and balancing deposits as well as pulling copies of explanation of benefits for negative balance accounts. Payment Clerks must be able to maintain a standard of accuracy set by TERM Billing, Inc. and must be able to meet the required productivity benchmarks.


Qualifications:

  • 10 Key by Touch
  • Medical Terminology
  • Insurance Experience
  • Accounting and Managed Care Knowledge is Preferred
  • Detail Oriented
  • Well Organized
  • Self-Motivated
  • Ability to Work Alone with Little or No Supervision


Research Department:
Business Office Manager


Description:
The Business Office Manager oversees the day-to-day work flow within the Research Department by working with the Research Coordinator to monitor and resolve claim issues, quality and productivity in order to maximize reimbursement. The Business Office Manager develops and implements the policies and procedures for the department. They are responsible for identifying industry trends and resolving issues with insurance payers. The Business Office Manager also communicates with the Clients on revenue and contracting issues, revenue reporting and analysis.


Qualifications:

  • 3 years Business Office Management experience
  • Proven success in team leadership or management
  • Insurance or hospital background
  • Excellent verbal and written communication skills
  • Microsoft Outlook, Word, Excel spreadsheet experience
  • Ability to multi-task.
  • Self motivated
  • Detail oriented
  • Excellent organizational skills


Research Coordinator


Description:

The Research Coordinator supports the Business Office Manager in the daily management of the Research team. They train all new employees and existing staff on department policies and procedures. They assist with monitoring the staff for productivity and quality. The Research Coordinator distributes A/R reports to the staff as well as assigning or adjusting workloads in order to maximize reimbursement. They review all coding appeals and make the necessary recommendations for changes in order to resolve accounts.


Qualifications:

  • 2 years experience in Medical Billing
  • Staff leadership or management experience preferred.
  • Insurance or hospital background
  • Good verbal and written communication skills
  • Microsoft Outlook, Word, Excel spreadsheet experience
  • Ability to multi-task.
  • Self motivated
  • Detail oriented


Research Specialist


Description:

The Research Specialist follows up on their assigned unpaid accounts and denials from insurance carriers. They are responsible for working the accounts on the A/R reports for their assigned hospital for resolution by contacting outside agencies in order to maximize reimbursement. The Research Specialist must meet all deadlines for reports and follow-ups.


Qualifications:

  • 2 years experience with medical billing, appeals and collections.
  • Good communication skills
  • Microsoft Outlook, Word, Excel spreadsheet experience
  • Ability to multi-task.
  • Self motivated
  • Detail oriented
  • Good organizational skills.


Managed Care Department:
Managed Care Manager (MCM)


Description:
The MCM is responsible for overseeing all duties performed by the Managed Care Specialist(s) (MCS) and Managed Care Department (MCD). The MCM works closely with TERM Clients in reviewing contract language and contract negotiations. The MCM communicates effectively to all Clients in regards to all managed care related issues or contracts The MCM analyzes financial data in order to give feedback and recommendations to clients on contract negotiations or contract related issues. The MCM provides clear and continuous communications to TERM’s Research Department and Payment Department on information pertaining to the current managed care contracts.


Qualifications:

  • 2 years experience in managed care contracting
  • Staff leadership or staff management preferred
  • Insurance or hospital background
  • Strong verbal and written communication skills
  • Self motivated and ability to multitask
  • Proficient in Microsoft outlook, word, and excel
  • Ability to work over 40 hours if deemed necessary to complete tasks
  • Ability to meet deadlines and work effectively under pressure, without supervision
  • Ability to analyze data and report accurately and creatively on excel spreadsheets
  • Ability to work with senior management as well as clients
  • Ability to monitor and oversee work performed by the MCD

Managed Care Specialist (MCS)

Description:
The MCS is responsible for over-seeing all managed care contracting issues assigned and work closely with the Managed Care Manager in communicating the status of pending contract issues. The MCS is to monitor and complete monthly hold reports for Managed Care Department. The MCS is to track the contract effective dates for all providers and/or groups for reference used by the Research Department and Payment Department. The MCS is to assist with managed care questions submitted by the Provider Services Representatives, Research Department, and Payment Department.

Qualifications:

  • Insurance background
  • Strong verbal and written communication skills
  • Strong organizational skills
  • Self motivated and ability to multitask
  • Proficient in Microsoft Outlook, Word, and Excel
  • Ability to meet deadlines and work effectively under pressure and without supervision