Accounting Tech II - Medical Biller (Greensboro) - #00004480

Posting number: 04113

Department: Public Health

Job classification: Accounting Technician II

Posting type: Open

Categories: Health Services, Public Health, Human Services, Customer Service, Medical Billing & Coding, Health Sciences, Health Care Support, Office and Administrative Support

Summary

GENERAL STATEMENT OF DUTIES
Performs independent technical work in the billing and collection of healthcare services provided by the Health Department. Responsibilities include reviewing encounters for billing accuracy, validating charges and coding, submitting claims to Medicare, Medicaid (NCTracks), and commercial insurance carriers, resolving claim denials and rejections, posting and reconciling payments, managing accounts receivable, and providing customer service regarding patient billing inquiries. Work requires knowledge of medical billing regulations, insurance guidelines, electronic health records, and revenue cycle processes to ensure accurate and timely reimbursement while maintaining compliance with federal, state, and payer requirements.

 

DISTINGUISHING FEATURES OF THE CLASS

An employee in this class independently performs a variety of technical medical billing and revenue cycle functions supporting the Health Department's clinical services. Responsibilities include reviewing encounter documentation for billing completeness; verifying diagnosis, procedure, and modifier coding; submitting electronic and paper claims; posting payments and remittance advices; reconciling accounts; researching and resolving denied, rejected, or underpaid claims; monitoring accounts receivable; and communicating with insurance carriers, providers, clinical staff, registration staff, and patients to resolve billing issues.

Employees exercise considerable judgment in interpreting payer policies, billing regulations, coding guidelines, and agency procedures to ensure accurate claim submission and reimbursement. Work requires proficiency in electronic health record and billing systems, medical terminology, insurance billing processes, and applicable federal and state regulations, including HIPAA requirements.

Employees work independently with minimal supervision and are expected to prioritize workload, meet billing deadlines, and maintain confidentiality of patient and financial information. Work is reviewed through audits, productivity measures, claim accuracy, timeliness of reimbursement, and adherence to established policies and procedures.

Examples of duties

EXAMPLES OF DUTIES

• Claims Submission: Enter charges, review encounters for completeness, and submit electronic and paper claims to Medicare, Medicaid (NCTracks), and commercial insurance carriers in a timely manner. 
• Claim Review & Coding Validation: Review encounter documentation and superbills to verify accurate diagnosis (ICD-10-CM), procedure (CPT/HCPCS), modifiers, and billing requirements prior to claim submission. 
• Denial Management: Research, correct, appeal, and resolve denied, rejected, or underpaid claims by working with providers, clinical staff, registration, and insurance carriers to maximize reimbursement. 
• Patient Billing & Customer Service: Calculate patient responsibility based on insurance coverage and sliding fee schedules, generate patient statements, process payments, and respond to billing inquiries. 
• Accounts Receivable Management: Monitor outstanding accounts receivable, reconcile payments, post remittance advices (ERAs/EOBs), identify payment discrepancies, and follow up on unpaid claims to ensure timely reimbursement. 
• Insurance Verification Support: Review insurance eligibility, coordination of benefits, and payer requirements to ensure accurate billing and reduce claim denials. 
• Compliance: Ensure billing activities comply with federal and state regulations, payer guidelines, HIPAA, and agency policies. 
• Electronic Health Record (EHR): Utilize the agency's electronic health record and billing systems to document, track, and resolve billing activities.

 

RECRUITMENT STANDARDS
Knowledge, Skills and Abilities

• Knowledge of established bookkeeping and accounting principles and techniques to standard and specialized accounting transactions.
• Knowledge of the concepts and practices of governmental fund accounting.
• Knowledge of office practices and procedures sufficient to plan, organize, and review the work of subordinate office support personnel.
• Knowledge of effective interpersonal skills suffic