Bills multiple payors for services. Calculates, balances, posts, and codes various billing data. Maintains account from admission through satisfaction of balance due.
Qualified individuals must be capable of performing the following essential duties and responsibilities, with or without reasonable accommodations:
- Resolves all customer requests, inquiries, and concerns in an expedient and respectful manner. Displays empathy, courtesy, and tact. In matters requiring supervisory judgment, refers to the Manager of Patient Financial Services for resolution.
- Processes accounts receivable statements for third party and private payors, including reviewing, coding, and maintaining supporting documentation, verifying data by conferring with appropriate agency & external sources.
- Bills multiple third party and private payors for services and equipment. Calculates, balances, posts, and codes various billing data, utilizing a variety of billing procedures as well as following department policy.
- Reviews reports of accounts receivable activity, investigating and resolving any discrepancies or problems, according to established policies and procedures. Recommends departmental/agency corrective action as required.
- Receives, investigates, and responds to inquiries from payors and agency departments concerning accounts receivable activity, according to established policies and procedures.
- Gathers, compiles, summarize, and records information for reports and files. Researches and prepares for reviews of outstanding receivable balances with Manager on a regular basis.
- Performs such similar, comparable, or related duties as may be required or assigned, including cross training with other PFS staff for departmental coverage.
- Responsible for the Key Performance Indicators (KPI’s) established by their manager.
*Note: The above information on this job has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job.
Qualifications
Education & Experience - Applicants must possess the following qualifications or an equivalent combination of education and experience:
Education: High school or GED diploma, AS in business related curriculum preferred
Experience: Three or more years' experience in medical billing, registration or collection.
Licensure, Certification, and/or Credential Requirements
Knowledge, Skill, & Ability Requirements
- Three or more years' experience in medical billing, registration or collection.
- Good knowledge of general office practices and procedures.
- Excellent organizational and analytical skills.
- Ability to work effectively in a fast paced, high-volume environment.
- Mathematical aptitude.
- Excellent oral and written communication skills.
- Positive customer relations skills and the ability to work effectively as a member of an interactive team.
- Ability to work under moderate supervision and exercise a moderate degree of independent judgment.
Technical & Systems/Equipment Proficiencies
- Microsoft Office Suite: Outlook, Word, Power Point and Excel
- Office equipment, such as computers, printers, copiers, and fax machines, as well as multi-line phone systems
- Intranet/Internet
Job Code: 326
Salary Range: $15.50 - $28.58
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