At Terry Reilly we believe we are successful when we have a healthy, thriving community. This is accomplished as a result of our mission-driven and talented team. \n

We provide integrated care throughout the Treasure Valley with our medical, dental and behavioral health services - allowing our employees the unique ability to experience several disciplines of health care. It is important to us that our staff is given a healthy work-life balance, so we support and value your time in and out of the office. We also provide our employees with excellent benefits including options for free healthcare.\n
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GENERAL RESPONSIBILITIES \n

Provide coordination of services to assist patients with high-level financial support to maximize revenue and increase and improve patient communication. Supports patient service by responding to patient inquiries and resolving issues related to their billing.\n
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ESSENTIAL DUTIES\n\nCheck eligibility for insured patients prior to visit. Communicate any updates or changes between patient and front office staff to ensure all parties are aware of what to expect at time of visit.\nVerify benefits for all insured OB patients. Assist and direct self-pay patients on Medicaid enrollment if applicable.\nEngage with patients to ensure they understand financial responsibility for high-level services such as OB care, Colonoscopies, Endoscopies, Dental surgeries not covered by insurance. Track monitor and manage payments and payment plans.\nCoordinate with Patient Navigators to assist patients in applying for outside benefits, grants or other funds to enable access to quality care.\nManage a quality assurance-auditing plan for patients whom have self-declared their income for our sliding fee program. Report results and\/or issues to management staff on a quarterly basis.\nMange participation and verification of income for patients elected to receive additional funding from grants or programs such as; Patient Assistance Fund, CHCNI, CDV, CHOIS. \nCoordinate with patients when it is necessary for them to update their insurance in regards to primary, secondary coverage; PCP identification, or benefit eligibility limitations.\nRegularly run reports to identify coverage for patients insured by third party insurance not otherwise identified or disclosed in our EHR. Works and maintains retro eligibility process for new Medicaid eligible patients. \nReconciles insurance rosters for quality and risk maintenance, including Medicaid, Medicare, Commercial value based contracted insurances.\nSend statements monthly\nProcesses refunds on overpaid patient balances monthly\nReceive and post patient payments received via the mail, phone, and online.\nUpdates patient information in practice management system as appropriate to ensure accurate generation of claims and statements.\nManages returned mail, including but not limited to; researching for better addresses, suspending statements, handling balances on accounts, and research with statement and collections vendors.\nIs first on answering phones for the department, handles calls and portal messages within scope of knowledge and transfers all other calls or messages to appropriate person.\n\n

MINIMUM QUALIFICATIONS\n\nOne to three years of medical office or medical billing experience.\nKnowledge of basic billing practices, insurance plans, and collections processes.\nAbility to read and follow oral and written instruction.\nMust be able to use hands repetitively with good dexterity.\nAbility to work with minimal supervision and direction.\nHighly ethical and non-judgmental.\nBasic bookkeeping knowledge.\nProficient with Microsoft Office products\nAbility to multi-task.\n\n

PREFERRED QUALIFICATIONS\n\nKnowledge of diagnosis and procedure (ICD-CPT) coding systems. Such knowledge is typically obtained from working in a medical office setting or through other educational background or experience.\nBilingual in English\/Spanish.\n\n
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Terry Reilly Health Services is an Equal Opportunity\/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.