Overview:

Responsible for the day-to-day operations related to billing and collections.

Duties and Responsibilities:

• Computes patient fees and charges.

• Collects payments from patients.

• Establishes and follows up on patient payment plans.

• Compiles billing data from electronic health record system, practice management systems, and other databases.

• Prepares and submits electronic claims to third party payers.

• Investigates and follows up with rejected claims.

• Maintains current knowledge of the basic and major medical, behavioral health, and prescription coverage plans.

• Maintains current knowledge associated with the billing methodologies of each plan.

• Performs insurance coverage and grant eligibility verifications by making field calls or using other verification tools.

• Generates superbill for appropriately covered patients three days before patient visit.

• Forwards verification information to Medical Receptionist at least two days before patient visit.

• Schedules follow up visits for providers.

• Assists financial team with clerical tasks.

• Participates in quality management and quality assurance activities.

• Other tasks as assigned by the Director, Revenue Cycle and Billing.