Job Description
General Summary Performs a variety of complex clerical and accounting functions for patient billing, including maintenance of third party billing records and resolution of a variety of insurance issues. Follows up on submitted claims and patient billing; resubmits claims or resolves problems. Works with others in a team environment.
Primary Responsibilities - Assists in obtaining pre-authorization from insurance carriers, when necessary. Compiles and submits all required documentation to the insurance.
- Processes billings to patients and third party reimbursement claims; maintains supporting documentation files and current patient addresses.
- Processes patient statements, keys data, posts transactions, and verifies accuracy of input to reports generated.
- Researches and responds in person, by telephone, or in writing to patient inquiries regarding billing issues and problems.
- Works with staff to ensure that correct diagnosis/procedures are reported third party insurance carriers.
- Follows up on submitted claims; monitors unpaid claims, initiates tracers; resubmits claims as necessary.
- Posts and reconciles payments to patient ledgers.
- Balances daily batches and reports, prepares income reports and statistics; distributes reports as requested.
- Follows and reports status of delinquent accounts.
- Reviews accounts receivables and make recommendations to supervisor regarding collection.
- Maintains patient demographic information and data collection systems.
- Maintains billing/filing records in accordance with established protocol.
- Performs a variety of general clerical duties and other routine functions.
- Ensures strict confidentiality of financial records.
- Performs other duties as assigned.
Work Experience - Minimum of one year experience in medical office setting.
- Two years of prior employment experience in medical billing.
Education/Certifications/Licensure - High School Diploma or equivalent
Skills - Computer skills and experience in maintaining automated recordkeeping systems.
- Good communication skills, written and oral, are necessary.
- Prefer bilingual in English and Spanish.
- Medical billing certification preferred; not required.
Physical Requirements I f a preliminary offer of employment is extended, a physical will be required before the offer can be accepted.
Light to medium physical duties include standing, walking, reaching, bending, hearing, and talking for up to eight(8) hours a day. Must have good vision; with or without corrective lenses. Must be able to lift twenty (20) pounds. Lifting will be primarily confined to occasional on-premises lifting of boxes of office supplies and minor office equipment.
Job Tags
Work experience placement, Work at office,