Summary

Compile data and prepare invoices, bill appropriate payor and follow up on accounts for timely payment.

Duties and Responsibilities Knowledge of insurance, especially Medicare rules and guidelines. Utilize a combination of electronic health record and paper patient records to perform billing duties, maintain an accurate, legally compliant medical record. Perform data entry of daily transactions. Review insurance payments for accuracy and post to appropriate accounts. Review denials or partially paid claims and work with the involved to resolve the discrepancy. Manage assigned accounts ensuring outstanding/pending claims are paid in a timely manner and contact appropriate parties to collect payment. Communicate with health care providers, patients, insurance claim representatives and other parties to clarify billing issues and finalize timely payments. Consult supervisor and appropriate resources to solve billing questions and issues. Maintain work operations and quality by following standards, policies, and procedures escalating compliance and complaint issues to supervisor. Perform a variety of administrative duties including but not limited to: answering phones, faxing, filing of confidential documents, basic internet and email utilization. Provide excellent and professional customer service to internal and external customers. Function as contributing team member while meeting deadlines and productivity standards. Maintain strict confidentiality and adhere to all HIPPA guidelines and regulations. Participate in traditional and e-learning programs.

Requirements & Qualifications

High school diploma or GED; 3 months related experience and/or training; or equivalent combination of education and experience