Job Abstract

Provides administrative support in the billing and collections function of the medical revenue cycle process.  Prepares new charges, completes insurance verification, maintains patient records, and is responsible for collecting on outstanding accounts receivable. 

• Obtain needed and or corrected information by contacting the patient, physician’s office, hospital, next of kin, insurance carrier, etc.
• Verify all patient information uploaded is accurate.
• Activate and bill patients within the billing system.
• Maintains the database by entering, updating, and retrieving data, as well as formatting and generating reports.
• Assists in resolution of outstanding accounts receivable problems from past due accounts.
• Responds to inquiries from customers or external collection resources.
• Places calls and sends messages to those with unresolved issues.
• Understands and maintains all governmental, regulatory and company billing and compliance regulations and policies for payers
• Follows-up with payers, patients, and other appropriate parties to collect open billings in a timely manner
• Identifies and reports to management any payer issues with regards to billing and collections
• Reviews, analyzes, and reconciles initial Accounts Receivable and Order Entry exceptions and discrepancies to provide accurate invoicing and prompt payment
• Performs other duties as assigned

Basic Qualifications:

• High level of quality awareness, accuracy, and attention to detail
• Strong communication, organizational, and problem-solving skills
• Data-oriented with basic proficiency in MS Office Applications, strong analytical skills, and the ability to create detailed reports
• Sense of urgency and customer-oriented mindset with understanding of Health Insurance Portability and Accountability Act (HIPAA) compliance and Protected Health Information (PHI)
• Ability to work independently, multitask and handle various priorities in a fast-paced environment

• Working knowledge of payer reimbursement guidelines and government, regulatory and company billing and compliance regulations/policies for assigned payers
• Effective verbal and written communication skills

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