Greene County agency is seeking a detail-oriented and efficient individual to join their team as a Temporary Medical Billing Support Specialist.   This is a temporary assignment, lasting approximately two months,  focused on supporting the transition of patient data to our CH Main production environment.

1. Patient Account Creation and Updates:

• Create new patient accounts in the CH Main production environment using data from the CH production environment.
• Verify and update demographic information.
• Assign correct guarantor relationships and household links.
• Add or update primary care provider assignments if required.

1. Insurance and Eligibility Maintenance:

• Transfer and enter insurance information from the CH production environment.
• Validate insurance plan details and coverage periods.
• Resolve eligibility errors using eligibility check tools or payer portals.
• Update coverage effective dates, termination dates, and coordination of benefits (COB) information.
• Flag and escalate discrepancies or issues needing payer follow-up.

III. Charge Entry:

• Manually enter charge data (CPT/HCPCS, ICD-10 codes, modifiers, units, service dates) from the CH production environment.
• Assign the correct rendering provider and service location.
• Ensure charge entry aligns with fee schedules and visit types.
• Note missing documentation or coding issues for escalation.

1. Data Quality and Documentation Support:

• Cross-reference data to ensure completeness and accuracy.
• Flag accounts with missing or incomplete data for follow-up.
• Document transition issues and maintain a daily work log for accountability.
• Assist in organizing scanned or electronic documentation into the correct patient records (e.g., referrals, authorizations).

1. Communication and Workflow Coordination:

• Coordinate daily task lists and progress updates with billing supervisors.
• Maintain open communication with full-time billing staff regarding issues that require their review (e.g., unusual codes, complex eligibility).
• Route unresolved eligibility issues or coding discrepancies to the appropriate team members.

Qualifications:

• High school diploma and medical administrative/billing coursework is required.
• Prior experience in a healthcare billing or administrative role is preferred.
• Strong data entry skills with a high degree of accuracy.
• Familiarity with medical terminology and insurance processes is a plus.
• Proficiency in using computer systems and navigating different software applications.
• Excellent attention to detail and organizational skills.
• Good communication skills and the ability to work effectively as part of a team.