This is a full time position. Monday-Friday.

ESSENTIAL DUTIES

POSITION RESPONSIBILITIES

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  Process and post checks
• Maintain accounts receivable database, including updating account information
• Enters data and reconciles the cash receipt log with payment posting totals
• Makes adjustments and corrections to patients accounts
• Investigate billing problems and formulates solutions, verifies and maintains adjustment/correction records
• Participate in educational activities
• Maintains strictest confidentiality
• Identifies delinquent accounts, aging period and payment source
• Reviews each account via computer, reports and other information sources
• Performs collections actions including contacting patients by telephone and resubmitting claims to third party

• Reviews accounts for possible assignment to collection agency, makes recommendations to Financial Department Supervisor and prepares information for collection agency
• Daily review tape and end of day reports
• Daily posts, corrects and applies patient and/or insurance payments, processes correspondence front third party payers
• Lists unidentified payments to correct accounts, documenting transactions to maintain adequate audit trail
• Resolves misdirected payments and returns incorrect payments to sender
• Copies any zero payments (denial) to appropriate financial service department specialist for follow-up
• Corrects and posts debit/credit adjustments of misapplied payments to ensure accurate and timely reporting on accounts
• Answers patients inquiries regarding account balances
• Prepares and processes credits and patient and insurance refunds
• Strong knowledge of CPT coding and ICD-9 coding. Understanding of what should be marked on an encounter form
• Ability to read and interpret and encounter form
• Strong data entry skills
• Ability to communicate with other staff members for necessary data and questions
• Responsible for day end reconciliation
• Excellent customer service skills for dealing with patients and co-workers. Ability to work closely with lead cashier
• Basic understanding of billing and managed care claim processing
• Accountable for daily balance
• Researches all information needed to complete billing process
• Records billing information for verification of claims processing
• Works with other staff to follow-up of accounts to work aged accounts
• Assists with coding and error resolution
• Assists with answering the telephone and provides information as requested without violation of HIPAA security rules
• Uses collection management reports to keep accounts receivable current
• Uses telephone, mail and other techniques to aid in collection of accounts receivable.
• Runs routine insurance claim forms and statements.
• Refers difficult collection problems to supervisor for further action
• Answers inquiries and correspondence from patients
• Identifies and resolves patient billing complaints
• Responsible for processing and filing primary and secondary claims
• Maintain office notes in data system for inquiries to patient account including inquires from third party payers
• Ability to interpret explanation of benefits from insurance payers.
• Obtains patient data to key charge information from hospital superbill that is completed by providers. Tracks admissions and discharges to hospital. Follow-up on missing encounters
• Compiles and distribute encounter visits weekly
• Verify accuracy of billing data and revise any errors
• Operate typing, adding, calculating and billing machines
• Prepares itemized statements, bills or invoices
• Records billing information for verification of claims processing
• Reviews documents such as charge slips or hospital records in order to key in charges
• Keeps records of invoices and support documents
• Maintains spreadsheet for tracking billing information
• Assists Customer Care Specialists with inquiries on errors and/or processes
• Assists with updates in current data base
• Process NSF checks and tracking
• Ability to work with internet payer sites