PURPOSE STATEMENT:
Responsible for the timely submission of claims to third party payors and collection. Following up on outstanding accounts receivable.
ESSENTIAL FUNCTIONS:
Provide strong customer service.
Review and submit claims to third party payors.
Assist with monthly invoicing to guarantors for continued care.
Registration and charge entry for physician services provided in accordance with policy and procedure.
Collection and follow-up on outstanding accounts receivable. Keep collection list current.
Review and resolve accounts with credit balances. Request refunds and/or adjustments.
Document all collection efforts and contacts in patient accounting system.
Inform Business Office Manager of any potential issues which may delay payment and/or issues with specific payors.
Resubmit claims as necessary.
Maintain log of any claim resubmissions, Rebill Log.
Perform other duties assigned.
OTHER FUNCTIONS:
Performs other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
High School Diploma or equivalent required. Must have knowledge of medical billing/collections experience required.
Experience
Required
1 year(s): Must have knowledge of medical billing/collections experience required.
Education
Required
High School/GED or better
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)