JOB SUMMARY:

Responsible for managing patient account balances including accurate claim submission, compliance will all federal/state and third party billing regulations, timely follow-up, and assistance with denial management.

RESPONSIBILITIES:

Submits accurate and timely claims to third party payers.

Resolves claim edits and account errors prior to claim submission.

Performs daily tasks in appropriate sequence to achieve optimal productivity, accountability and efficiency.

Contacts third party payers to resolve unpaid claims.

Utilizes payer portals and payer websites to verify claim status and conduct account follow-up.

Researches and processes mail returns and claims rejected by the payer.

Reconciles billing account transactions to ensure accurate account information

Processes billing and follow-up transactions in an accurate and timely manner.

Develops and maintains working knowledge of all federal, state and local regulations pertaining to hospital/physician billing.

Monitors accounts to facilitate timely follow-up and payment to maximize cash receipts.

EDUCATION, EXPERIENCE and SKILLS

High School diploma or equivalent.

One (1) year medical billing/medical office experience.

Excellent oral and written communication skills. Working knowledge of computers, medical terminology preferred, understanding of business math and ICD-10

PHYSICAL REQUIREMENTS:

Must be able to sit for extended periods of time.

Must have reading and comprehension ability.

Must be able to communicate effectively.

Must have manual dexterity to operate keyboards, fax machines, telephones and other business equipment.