Description

Job description

Oversees billing functions and integration of Practice Revenue Management System

• Oversee day-to-day billing processes:
• Creation of claims and claims submission
• Adjustments and payment errors
• End-of-day reconciliation and preparing the deposit: run summary and detail report, assure staff payments are locked, and complete deposit
• Audit EMR for progress notes that are not completed and notify provider that progress note needs to be completed
• Review and correct patient insurance information and resubmit claims to Network Billing Office [NBO]
• Create charges for form fees and missed appointments
• Send requests to providers to correct diagnosis and procedure codes for resubmission
• Preparing and submitting billing data and medical claims to insurance companies.
• Ensuring the patient’s medical information is accurate and up to date.
• Preparing bills and invoices, and documenting amounts due for medical procedures and services.
• Collecting and reviewing referrals and pre-authorizations.
• Monitoring and recording late payments.
• Following up on missed payments and resolve financial discrepancies.
• Examining patient bills for accuracy and request any missing information.
• Investigating and appealing denied claims.
• Helping patients develop patient payment plans.
• Maintaining billing software by updating rate change, cash spreadsheets, and current collection reports.

Patient liaison:

• Responds to patient concerns about outstanding bills: office and laboratory
• Assists staff with difficult billing situations
• Responds to patient’s billing and insurance questions
• Retrieve and respond to messages left on the billing voicemail

Supervisor Responsibilities:

• Help to cover Medical Assistance on the floor when needed
• Help to cover Medical Receptionist when needed
• Register staff with all applicable revenue/Insurance Applications (ie Availity)
• Update Front training manual as needed
• Complete Skills Assessment facilitation as needed

Requirements

Experience:

• Billing /Claims Knowledge a Required
• Nightly process Preferred, Billing Reconciliation
• Health care administration, accounting, or a relevant field Preferred.
• A minimum of 2 years of experience as a medical biller or similar role.
• Solid understanding of billing software and electronic medical records.
• Must have the ability to multitask and manage time effectively.
• Excellent written and verbal communication skills.
• Outstanding problem-solving and organizational abilities

Management: 1 year (Preferred)

Work Location: In person