Position Summary

The Patient Account Representative (PAR)/ Biller shall be responsible for researching, contacting, and responding to patients and responsible parties in order to resolve past-due accounts, the timely and accurate submission of claims to the responsible payer for services and products provided; obtaining necessary documentation to support claims; posting of payments; evaluation of payments received to ensure appropriate payment; timely follow-up on invoices not paid: and management of account receivables. The PAR/Biller actively supports BCHC in its efforts to maintain designation as a Federally Qualified Health Center (FQHC) and as a Patient Centered Medical Home (PCMH). Participates actively in BCHC’s mission to provide exceptional patient-centered primary and preventive healthcare for all residents of Berks County, regardless of patient status.

Job Description

Receivables

• Identifies problem accounts; investigates and corrects errors. • Makes recommendations for billing issues that are systematic vs individual errors. • Follows-up on missing account information, Identifies source of the error. Determines if the error needs to be returned to the source of the error or corrects the error for fastest reimbursement. • Review of rejected claims/tickets/visits: identify and correct the reason for the rejection. o Identify billing errors and fix o Identify EMR system error, forward to manager for correction and rebilling. o Identify EMR system error / clearinghouse errors, report issue to manager for resolution. • Resolves past-due accounts. o Identify claims that have adjustment errors and fix the error. o Identify claims that have been rejected in error for billing the incorrect payer, Identify the correct payer via insurance portals. Update and reset to be billed. • Addresses claim rejections in a timely manner. o If determined that claim is outside the timely filing limit, follow policy and procedures for adjusting the visit for timely filing write-off. • Manages accounts receivable appropriately and in accordance with established policy. • Processes secondary insurance billing in a timely manner.

Patient accounts

• Answers inquiries by phone regarding past-due accounts and insurance guidelines; researches past-due accounts. • Contacts responsible party to resolve delinquent accounts; prepares payment plans and monitors adherence to plans by responsible party. • Directs accounts to outside collection agencies when necessary. • Prepares, reviews, and sends patient statements.

Payment Posting

• Posts payments o Posts Patient payments o Post Insurance payments from insurance remittances. o verifies and performs mathematical computations to ensure payments have been applied correctly.

Billing Support

• Answers questions from patients, clerical staff, and insurance companies. • Reviews accounts for possible assignment and makes recommendations to the Business Office Manager, also prepares information for the collection agency. • Performs various collection actions including correcting and resubmitting claims to third party payers. • Performs other duties as assigned. • Composes and types routine correspondence, memos, letters, etc.

Job Type: Full-time

Pay: $15.00 - $20.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Experience:

• ICD-10: 1 year (Preferred)

Work Location: In person