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State of Montana Medical Billing Technician (12020) in Helena, Montana

The/Department of Public Health and Human Services/is the largest executive branch department in Montana State Government with over 3,200 employees. We maximize individual and organizational potential by supporting the agency’s most valuable resource – OUR PEOPLE. The mission of the/Business & Financial Services Division/(BFSD) is to provide professional services in operational areas critical to the efficient and effective management of the Montana Department of Public Health and Human Services. BFSD provides leadership and guidance in the development and implementation of accounting policies and procedures and best business practices Job Overview: Located within the Facility Reimbursement Department of BFSD, the Medicaid Billing Technician prepares claims for medical and psychiatric services provided at one of the department facilities and performs the accounts receivable function for amounts collectible from Medicaid, Medicare, private insurance, and other programs.Prepares and maintains patient accounts and reconciles accounts with ledges. Records and analyzes facility patient census data to ensure billing for services is justifiable and correct. Applies accounts receivable payments to patient accounts. Prepares and submits facility services to recover costs of providing medical and psychiatric services at all of the department facilities _ * Creates new patient accounts in the management Information and Cost Recovery System (MICRS) to record patient demographics and accounts receivable activity. * Reviews financial resource documents prepared by the facility financial investigator to determine a patient’s eligibility for funded benefits and verifies patient eligibility using online benefit databases. * Receives, logs, and reviews batches of documents from the facility detailing medical and psychiatric services provided to patients. Enters individual services provided to each patient account in MICRS including service ordered date and time, service provided date, CPT procedure code, number of services, physician/dentist number, licensed therapist number and diagnostic codes. * Maintains patient accounts to ensure claims are justifiable and balances are accurate. Prepares services for monthly submission by interpreting and applying billing requirements according to facility licensure, treatment levels, and federal, state, and agency guidelines. Verifies that procedure codes are correct. * Reconciles monthly billing from laboratory contractor to verify that billed charges are appropriate, that all Medicare and Medicaid eligible services have been billed directly to these programs by the lab, and to resolve billing issues before finalization of invoices. * Reviews monthly report of dispensed drugs and vaccines from the pharmacy contractor for accuracy and resolves discrepancies with the vendor. Verifies dispensed drugs are substantiated by doctor’s orders, nature of patient treatment, and patient admission and discharge dates. * Reconciles patient accounts with ledge balances. Uses spreadsheets to tie together all payment sources to ensure full cost of care is not exceeded in billing. * Conducts monthly closing work to ensure billing for medical and psychiatric services, drugs, and laboratory services are correct and in the appropriate format. Resolves inconsistencies with facility personnel, laboratory, or pharmacy. Requests transfer of transaction data into the Ledger System to initiate billing. _Analyzes and processes census data for the assigned department facility * o Enters patient demographic information from facility patient admission forms into MICRS and records patient movement between units and discharge. Also enters each patient’s diagnoses and medical and mental health services provided into MICRS. o Analyzes demographic data for discrepancies between MICRS, Agency Wide Accounting and Contract System (AWACS) and the TIER database and resolves differences for posting data into MICRS to support billing process. o Reconciles MICRS census reports with facility census records on monthly basis to determine actual number of patient treatment days according to level of care. o Compiles census and utilization data for preparing federal cost report statistics and to respond to statewide surveys conducted on hospital and nursing facility utilization. o Prepares monthly Average Daily Population (ADP) statistics and distributes to managers. Receives and processes daily accounts receivable payments * Examines Explanation of Benefits (EOB) that accompanies payment to identify how to apply a payment that covers multiple patients and allocates amounts to individual accounts. * Codes payments and submits to cashier for deposit. Reconciles patient balances and deposits with SABHRS balances. * Scans daily deposits to the bank. Prepares and maintains accounting ledge balances and data worksheets for reconciling transaction activity and reporting purposes. * Creates trial balance spreadsheets to record and track daily, weekly, and monthly billing and payment transactions. Reconciles trial balance with MICRS reports and SABHRS deposit and collection reports. Prepares and maintains files that provide an audit trail for all monthly activity. * Compiles transaction summaries into annual reports to provide documentation for revenue accruals, calculating facility rates, and preparing Medicaid cost reports. Physical and Environmental Demands: *This position works in a typical office environment and requires extensive keyboard data inputting. _Required for the First Day of Work_: * Working knowledge of medical billing terminology and procedures. * Considerable knowledge of office practices and writing business correspondence. * Working knowledge of accounting methods and accounts receivable theory and practices. * Effective oral and written communication skills. * Ability to analyze, interpret, and apply procedural rules regarding claims and statements. * Ability to operate a personal computer and general office equipment as necessary to complete essential functions, including 10-key calculator, spreadsheets, word processing, database, E-mail, Internet, and other computer programs. * Ability to learn quickly and independently. _Minimum Required Education and Experience_: * High School diploma or GED * Four years work experience in accounting, billing, and collecting in a medical field, and experience with medical terminology and coding. * Other combinations or related education and experience may be considered on a case-by-case basis. /Women (and/or) minorities may be under-represented in this position and are encouraged to apply./ /Required Information to attach to the requisition://Coverletter, resume & three references./ /Successful applicant(s) are required to successfully pass all DPHHS specific background check(s) relevant to each position./ Job: Accounting/Finance *Title: *Medical Billing Technician (12020) Location: Helena Requisition ID: 21142398