Position is responsible for working the accounts receivable to collect outstanding balances from insurance companies and patients to include working all claim denials, appeal of improper payments and resolution of credit balances.
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Reviews financial obligation with patient and family member. May perform pre-qualification of third party coverage of scheduled procedures. Participates in cross-training for other Business Office positions.
Reports To: Business Office Manager
Classification: Non Exempt
Benefits
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Qualifications
High School graduate or equivalent required
Two years of medical facility or medical business office experience required
Experience In Customer Relations Preferred
Automated billing systems experience required
OCCUPATIONAL EXPOSURE
Office Environment
Responsibilities
- Maintains current information on claims adjudication and payment policies on all encountered third party payers and government intermediaries.
- Maintains current information on correct and lawful practices in billing government and private payers for Prospective Payment System.
- Monitors accounts receivable to identify billing errors, and timely rebilling.
- Follows-up on past due accounts with patient or payers.
- Reports status of accounts receivable as requested.
- Provides management reports to the Business Office Manager per protocol.
- Assumes clerical duties and responsibilities as necessary.
- Assists with preparation and maintenance of Facility records and reports.
- Answers patient and family member questions regarding financial responsibility and explains insurance requirements and refers questions to healthcare professionals when appropriate.
- Communicates pertinent information from the physician, support staff, insurance companies and other significant parties to the patient.
- Reports regularly to the Business Office Manager about the status of current projects or workflow.
- Discuss financial obligations with patient or family member, explaining the fees and reimbursement process and responds to any patient inquiries. xhfqzwm
- Comply with facility Standards of Behavior and complete all required education assignments within the designated timeline.