Accounting Technician II – (Health)

DEPARTMENT: Health Department

SALARY: Grade 57                        $15.9652 hourly / $33,207.72 annually

OPENING DATE: March 15, 2024               “OPEN UNTIL FILLED” 

GENERAL DESCRIPTION OF DUTIES 

This position provides is responsible for ensuring the accuracy of A/R system of patient accounts. The employee is also responsible for managing all aspects of the EMR financials, which includes the following: Billing, Coding, Superbills, and management of the denials and rejections associated with EMR billing. This position must operate at a high level of accuracy as it involves obtaining patient information for data entry, billing activities and fee collection.  

SPECIFIC DUTIES AND RESPONSIBILITIES 

EXAMPLES OF ESSENTIAL FUNCTIONS 

This list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. It is not necessarily descriptive of any one position in the class. The omission of an essential function does not preclude management from assigning duties not listed herein if such functions are a logical assignment to the position. 

95% 

• Creates superbills for services that are rendered daily.  
• Works closely with providers to ensure services are coded accurately and at the highest reimbursement level, that all notes are signed and superbills are created and submitted timely and appropriately.  
• Works closely with DON and providers to research and recommend appropriate CPT Codes. 
• Processes Commercial Insurance, Medicaid and Medicare claims for Medical services for Duplin County Health Department. This includes billing, posting payments and following up on denials and rejections electronically through the EMR System.  
• Assesses patient pay status and determines whether changes need to be made in patient’s account.  
• Applies established bookkeeping procedures and methods in verifying entries and transactions and in making adjusting entries.  
• Posts patient payments to appropriate charge.  
• Balances petty cash against daily receipts at the end of the day. 
• Compiles daily reports and submits to appropriate person.  
• Works closely with patient to schedule payment arrangements.  
• Prints and distributes daily and monthly reports.  
• Prints and prepares quarterly statements.  
• Processes payment vouchers for services assigned.  
• Responsible for debt set off billing and payments.  
• Documents information in the EMR as needed.  
• Runs monthly A/R reports from EMR 
• Balances monthly A/R to General Ledger. 

• Provides training and works closely with A/R clerk to ensure accounts are properly posted and deposits accurately made. Assists with any balancing issues.  
• Balances Medicaid payment when out of balance. 
• Verifies monthly cash count for the County Finance Office at the beginning of each month.   

MARGINAL FUNCTIONS 

While the following tasks are necessary for the work of the unit, they are not an essential part of the purpose of this position and may also be performed by other unit members.  

5% 

• Provides eligibility training to new employees, serves as a resource for existing staff and backup eligibility when needed.  
• Staffs shelters during a disaster as assigned. 
• Performs other related tasks as deemed appropriate by supervisor.  

MINIMUM TRAINING AND EXPERIENCE 

Graduation from a high school including or supplemented by basic courses in bookkeeping or accounting and three years’ experience in bookkeeping or accounting clerical work in an accounting office; or an equivalent combination of education and experience. Experience with data entry of clinical services, processing of insurance claims and specific knowledge of electronic medical records systems is preferred.    

SPECIAL REQUIREMENTS 

• Valid NC Driver’s License 
• Reliable means of transportation for work assignments