Description:
Job Title: Patient Accounts Billing Representative
Supervised by: Business Office Director

Job Summary: Responsible for billing and follow up of accounts in the Patient Accounts Department for assigned financial classes, according to documented procedures. A/R activities include but are not limited to:

• Claim status
• Billing/Rebilling claims
• Credit Balance resolution
• Denial Management
• Aged Account follow up and resolution
• Maintaining accurate and up-to-date account information
• Cash posting

PROFESSIONAL REQUIREMENTS:

• Adheres to the dress code; appearance is neat and clean.
• Completes annual educational requirements.
• Maintains regulatory requirements.
• Reports to work on time and as scheduled; completes work within designated time.
• Wears identification while on duty; uses computerized punch time system correctly.
• Attends 12 staff meetings annually; or reads and returns all monthly staff minutes.
• Participates in CQI activities.
  Requirements:

Regulatory Requirements:

• High school graduate or equivalent.
• Minimum 2 years of Medicare/Commercial billing experience, preferred.

LANGUAGE SKILLS:

• Able to communicate effectively in English, both verbally and in writing.
• Additional languages preferred.

SKILLS:

• Thorough understanding of Medicare, Medicaid, HMOs, PPOs, private insurance companies.
• Basic computer knowledge, Microsoft Excel, data entry skills.

OTHER ESSENTIAL FUNCTIONS:

• Works with other team members effectively.
• Assist other team members with back logs as needed.
• Identifying and assisting in resolving issues affecting accounts receivable.
• Answers the telephone in a polite manner. Communicates information to the appropriate staff.
• Demonstrates the ability to be flexible, organized and function well in stressful situations.
• Maintaining a high level of professionalism in all written or verbal communication.
• Treats patients/families with respect; ensures confidentiality of patient records.
• Maintains a good working relationship within the department and with other departments.
• Maintains a professional working relationship with insurance companies.
• Performs other duties as assigned.
• Ensures documentation meets current standards and policies.
• Supports and maintains a culture of safety and quality.

Job Summary: Responsible for billing and follow up of accounts in the Patient Accounts Department for assigned financial classes, according to documented procedures. A/R activities include but are not limited to:

• Claim status
• Billing/Rebilling claims
• Credit Balance resolution
• Denial Management
• Aged Account follow up and resolution
• Maintaining accurate and up-to-date account information
• Cash postin