Description

Essential duties and responsibilities:

The following description of job responsibilities and standards are intended to reflect the major responsibilities and duties of the job but is not intended to describe minor duties or other responsibilities as may be assigned from time to time.

• Serves as billing team lead for the Fertility Institute of New Orleans
• Follow up on unpaid insurance claims in a timely manner
• Interact with the public via telephone in a courteous and tactful manner to answer concerns/questions
• Utilizing follow up reports, contact appropriate insurance carrier by telephone to determine reason for non-payment
• Review internal reports to determine errors causing denial of claims; responsible for correcting information and re-submitting claim
• Preview claims and resolve issues prior to release to appropriate insurance carrier
• Respond by telephone to requests for information by mail and/or written communication from insurance carriers
• Follow internal protocols regarding internal departmental communications
• Respond in a timely manner to all requests regarding accounts from divisions
• Respond to requests from insurance companies
• Gather and create agenda for scheduled meetings with insurance carrier provider representative regarding billing and collection concerns, trends, and/or new product requirements
• Show evidence of knowledge of insurance payer guidelines and internal collection guidelines
• May be required to do follow up on insurance claim appeals
• Work with self-pay collector to verify / clarify disputed patient balances.
• Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure
• May be required to utilize insurance carrier Internet websites for researching patient benefit eligibility and claim status
• Will accept any other duties that may be assigned

Qualifications

Minimum Qualifications & Competencies:

• Bachelor's Degree: Certified Professional Coder preferred
• Candidate must have at least 3 years working in a medical billing office, managing staff and interacting with insurance payers, medical offices, patients & collection agency
• Previous management or supervisory experience
• Knowledge of medical software, insurance processing and collections
• Strong communication, interpersonal, and organizational skills
• Knowledge of business office procedures

Additional General Requirements:

• Commitment to the maintenance of patient privacy
• Professional, positive attitude, vision and understanding of customer service principles
• Critical thinking, analytic and problem solving skills as it relates to collections management
• Must have thorough working knowledge of all aspects of the practice management systems
• Responsible for associates' adherence to company policies and procedures