Mission Statement and Core Values

Athletico’s sole purpose is to provide exceptional, progressive, and cost-effective fitness, performance and rehabilitative services through personalized care that emphasizes education and prevention of future injury.  This is accomplished through building on our core values of patient/client satisfaction, accountability, teamwork and continuous improvement which are the foundation for our unique culture.

Position Summary

The position provides billing/collection support to all departments within the Billing Center. This role supports the company/clinics by capturing incorrect and missing demographics and charge data, maintaining accurate master files and account quality assurance.

Essential Duties and Responsibilities

• Provide internal customer service to clinics and Billing Center staff
• Troubleshoot and correct inaccurate patient demographic data 
• Verify charges in order to ensure accuracy of billed units and capture billed charges
• Perform account maintenance on defined fields in billing system
• Monitor the clinic compliance of pre authorization guidelines
• Ensure clinics handle required billing documentation
• Audit table integrity to maximize utilization of electronic payers, assign e-payer codes.
• Research quality assurance reports in order to prevent delinquencies in claims
• Update applicable PM master file databases
• Research account activity, problem solve and execute when applicable
• Audit Clearinghouse EDI claim processing statuses and initiate an EDI Claims/ERA enrollment process if applicable

Additional Duties and Responsibilities

• Attend department , Billing and Collection staff meetings
• Perform other duties as required

Education and Experience:  The requirements listed below are representative of the knowledge, skill, and/or ability required.

• High school diploma required
• Associate’s degree or equivalent work experience is preferred
• Knowledge of Microsoft Office, including proficiency with Excel, MS Word and Outlook

• Prior experience in data entry preferred
• Knowledge of healthcare billing systems preferred

Essential Qualifications:   To perform this job successfully, an individual must be able to perform each essential duty satisfactory. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Demonstrated ability to work effectively with both internal and external customers
• Demonstrated ability to make a clear agreement to get something done and take responsibility to achieve that commitment
• Demonstrated ability to develop personally and professionally
• Demonstrated ability to anticipates the needs of coworkers and proactively assists them to meet a common goal
• Demonstrated ability to analyze account activity in order to accurately refund patients and vendors for overpayments made
• Demonstrate the ability to actively work reports in order to prevent a delay in claims and statement processing
• Proven ability to clearly organize and effectively convey information
• Proven skill to work independently in a fast-paced environment
• Proven ability to be detail-oriented and ability to look for potential challenges while executing daily processes
• Demonstrated ability to understand and determine priorities, effectively manage time and develop work plans in order to accomplish tasks and/or projects

Language Skills

• Ability to read, write and speak English proficiently

Physical Demands:  The physical demands describe here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

• Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus
• While performing the duties of this job, the employee is regularly required to talk and hear
• Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to:  remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.)
• Frequently required to stand, walk, sit, use hands to feel, and reach with hand and arms
• Occasionally lift and/or move up to 20-25 pounds 
• Fine hand manipulation (keyboarding)

Work Environment:  The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Internal office
• The noise level in the work environment is usually low