Job Description

Essential Duties and Responsibilities include the following.  Other duties may be assigned. 

Process claims daily, provide all required attachments as appropriateSubmits all primary, secondary, and tertiary claims electronically to the clearinghouseCorrects unbilled claim edits as appropriate to ensure claims final billUnderstands and abides by billing compliance regulationsVerifies accuracy of insurance payments and adjustments received/postedRuns reports on outstanding insurance A/R on a daily/weekly basisFollow-up on insurance claims within 30 days of billing for commercial, 21 days for government payorsRespond to all billing related inquiriesInteract with patients when required to bring account to closurePrint and mail patient statements on a monthly basisRuns reports on outstanding patient A/R on a weekly basis. Patient account balances of more than 90 days with no payment will be reviewed with manager and turned over to collectionsSends approved accounts to collection agency, monitors collection agencySubmit refund requests with supporting documentation to managerAssists and backs up other business office positions as neededAnswers telephone, questions, and returns calls in a courteous timely mannerPerforms additional duties as assigned or requested

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

 

Reasoning Ability:

A candidate must have the ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form as well as the ability to deal with problems involving several concrete variables in standardized situations.  This individual must have strong verbal and written communication skills and be able to communicate effectively.

 

Computer Skills:

To perform this job successfully, an individual should be proficient at working with computers and Microsoft Excel and Word software.  Experience working with patient financial systems, specifically ASC patient financial systems (e.g., Amkai, HST, Vision, AdvantX) preferred.

 

Certificates and Licenses:

N/A

 

Education/Experience:

High school diploma or GED certificateMinimum of 1 year billing experience requiredMinimum of 1 year accounts receivables required