POSITION OVERVIEW:

Responsible for efficient performance of job functions, including processing all invoices to accounts receivable and follow through for payment. Knowledge of company policies. Answer the phone and assist customers as necessary. Knowledge of reimbursement by third-party payors, including prior authorization requirements. This position reports directly to the Billing Department Manager.

KNOWLEDGE, SKILLS, ABILITIES, AND PERSONALITY:

• Must be detail oriented and highly organized.
• Able to function as a polite and cooperative team member with a positive attitude.
• Good computer skills, specifically Word & Excel.
• Good oral and written communication skills.
• Able to work independently with minimal supervision.
• Able to handle heavy telephone traffic and meet deadlines.
• Familiarity with insurance rules and regulations preferred.
• Able to maintain confidentiality.

PHYSICAL QUALIFICATIONS:

• In an average 8-hour day the employee sits 7-8 hours. (These hours include up to 7 hours of data entry/phone work).
• Must be clean & neat in personal appearance.

Education and Experience:

• High school diploma or G.E.D. equivalent required.
• Prior medical billing/collection experience preferred

• Process claims for payments for all payment sources.
• Follow up on prior authorizations, claim denials, requests for additional information and non-payment in a timely manner.
• Work aging reports and review with management on a timely basis.
• Handle customer questions/concerns over phone and in store.
• Responsible for attendance at in-services and meetings.
• Perform other duties as deemed appropriate by management.

Education and Experience:

• High school diploma or G.E.D. equivalent required.
• Prior medical billing/collection experience preferred.