EOE Statement We are an equal employment opportunity employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.About the Organization Wills Eye Hospital, located in Philadelphia, Pennsylvania, is a global leader in the treatment of eye disease. Established in 1832 as the America's first eye hospital, we are one of the world's premier eye care facilities and the #2 best hospital in the nation for ophthalmology as ranked by U.S. News & World Report.

Our clinical expertise, state-of-the-art diagnostic testing and advanced surgical capabilities make Wills Eye a worldwide referral center where more than 250,000 patients are treated annually. From common eye problems to rare sight-threatening diseases, Wills Eye provides general eye care and comprehensive ophthalmic specialty services that attract patients throughout the Philadelphia metropolitan area, across the country and around the world.

Today, we continue to shape the science and medicine of ophthalmology, thanks to our talented, skilled physicians and staff who are dedicated to improving and preserving sight.

Description
Primary Responsibility:

• The Business Office Specialist ensures that all billing information, including demographics and insurance data, is accurately entered in the patient chart and that all requirements of the coverage in place are met. Meets and advises PSR staff regularly regarding information collected and insurance changes/requirements. Reviews daily charge entry and corrects as necessary. Collects and enters surgical charges in a timely fashion. This position requires working patiently, efficiently and accurately to ensure an optimal patient experience.

Additional Roles and Responsibilities:

• Ensures that all patients are greeted in a friendly and professional manner.
  
  Ensures that all patients are registered in a timely manner with the appropriate demographic information and insurance information entered into NextGen practice management system.
  
  Verifies all patient encounters include necessary provider signatures.
  
  Conducts patient consultations to review and answer questions related to financial policies and out-of-pocket costs for surgery as needed.
  
  Applies modifications/corrections as needed prior to charges being submitted to clearing house.
  
  Audits and reviews schedules for upcoming dates of service to verify RTS eligibility, Intelichart registration, referrals, and all fields entered by patient registrars.
  
  Verifies charges for testing and coding.
  
  Reviews patient charges and performs daily payment reconciliation to ensure co-pays and referrals are collected and posted into the system in an accurate manner.
  
  Ensures that the patient's insurance has been verified and any necessary referrals and/or authorizations are obtained prior to being seen. Alert manager to any problems with a patient's coverage and jointly decide if the patient must pay for services or reschedule their appointment. Registrar will always take into consideration the medical urgency of a patient's condition when making this determination.
  
  Ensures that the physicians and residents have signed the charts prior to entering any charges.
  
  Makes appropriate appointments for the patient by carefully reviewing the physician's instructions on when and where to follow-up. When there is confusion, seek out a physician or manager for clarification.
  
  Communicates with the technicians as necessary to service a patient's needs.
  
  Travels when necessary to other Wills Eye locations as required by physician scheduling.
  
  Understands insurance terminology and educates patients on insurance challenges and alerts patients to the need for referrals, etc.
  
  Initiates and manages clinical authorizations or patients.
  
  Provides counseling to patients and/or providers by answering benefit questions, researching and resolving insurance issues and inquiries and enhances patient and providers understanding of insurance coverage and financial responsibility on in-office procedures
  
  Acts as a liaison between physicians, health plans, vendors, patients and referral sources for planned and unplanned procedures.
  
  Responds to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions.
  
  Assists patient registration team as needed.
  
  Uses good judgment and initiative, communicates effectively and adapts to variations in workloads, assignments and interpersonal situations as needed.
  
  Respects and protects the patients' rights to confidentiality and privacy and discloses information only for professional purposes, which are in the patients' best interest with full consideration of their legal rights.
  
  Formulates and maintains effective working relationships with peers, management, and functions as an effective team member.

Position Requirements
Educational requirements:

• HS diploma or equivalent required.

Experience:

• Must have an extensive knowledge of policies and procedures of the third party payers, commercial insurers and managed care plans.
• Requires strong patient service skills, strong communication and writing skills, and strong computer skills
• Five 3-5 years' medical practice or hospital experience as a Biller utilizing EMR for processing claims
• Strong understanding of the insurance environment and standard billing practices
• Understands billing timelines and urgency in meeting filing deadlines.
• Ability to act and operate independently with minimal daily direction from manager to accomplish objectives
• Uses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; acts as an escort to any patient or family member needing directions; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients / families/ colleagues perceive interactions as positive and supportive
• He/she must be comfortable interacting with patients, management, and physicians on a regular basis.

Category ClericalFull-Time/Part-Time Full-TimePosition Business Office SpecialistNumber of Openings 1Exempt/Non-Exempt Non-ExemptLocation Wills Eye Hospital
This position is currently accepting applications.