This position is responsible for billing patient services covered by Medicaid, Medicare, and other third-party payers, and functions as a liaison between patients, third-party payers, physicians, clinics, and HCHN staff regarding billing.
Requirements
- Able to perform accounts receivable collection activities timely and accurately including prioritizing subtasks.
- Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.
- Accurately post all insurance payments by line item.
- Communicates practice management system issues with the Billing Supervisor to ensure claims are processed accurately and timely.
- Collects on outstanding claims from third-party payers according to department benchmarks.
- Works on special billing projects as assigned by the Billing Supervisor in conjunction with other billing responsibilities.
- Contact appropriate departments and eligibility systems to obtain necessary information for billing purposes.
- Responds efficiently and accurately to denials received. Ensures necessary information is obtained and resubmitted as quickly as possible.
- Documents the practice management system to reflect the current billing status of each patient account to ensure an audit trail of all account activity.
- Accurately documents reasons for denials that cannot be re-billed, and communicates such information to Billing Supervisor for follow-up.
- Processes patient, payer, and employee interactions within the guidelines set for the department.
- Responds professionally and timely to patient calls and third-party payer calls.
- Meets professional behavior expectations as evidenced by compliance with the following standards:
- Meets all attendance and punctuality requirements to ensure proper coverage and quality service
- Professional and appropriate dress as required by the position
- Demonstrates an ability to resolve interpersonal and professional conflicts appropriately
- Ability to formulate decisions and make judgments that are demanding and interpretative
- Keeps all matters related to the organization confidential in compliance with confidentiality policy
- Performs other duties as assigned related to revenue cycle management.
Benefits
- 401k Matching
- Health insurance
- Dental insurance
- Vision insurance
- Paid time off
- Retirement Plan
- Health Savings Account (HSA)
- Relocation Assistance
