Essential Job Duties and Responsibilities:

The following description of the job responsibilities and performance expectations are intended to reflect the primary responsibilities of the job, but are not intended to describe all duties other responsibilities as may be assigned from time to time.

• Posts insurance and patient payments as per our contract and the EOB.
• Demonstrates strong knowledge of the centers of Managed Care contracts to accurately calculate insurance allowable.
• Enters comments into the account for explanation of any discrepancies in payment.
• Notifies the collector(s) of any appeals.
• Identifies any immediate refunds and requests them per our policy and procedures.
• Applies all other overpayments to the account and sends a letter of overpayment to insurance company.
• Requests refunds when appropriate.
• Posts refunds after they have been approved by the business office manager.Ensures all documentation is complete.

·Separates all payments between mail, lock box, and over-the-counter payments.Balances batches with Business Office Manager.

• Mails refunds to patients and insurance companies.
• Transfers payments from one account to another at time of recoup.
• Adjusts accounts per our contract at time of payment when necessary.
• Maintains three batches per day, one for mail payments, one for over the counter payments and one for credit cards.Then balances batches with the business office manager and deposit.
• Receives, screens, and routes incoming calls in a professional manner.
• Assists with other business office function, as needed and is crossed trained to effectively perform other job descriptions.
• Reports regularly to the Patient Accounting Coordinator about the status of current projects or workflow.
• Participates in development of organization procedures and update of forms and manuals.
• Performs miscellaneous job-related duties as assigned.
• Maintains strictest confidentiality, adhering to all HIPAA guidelines/regulations.

Qualifications:

High School graduate.

One year of related experience or medical business office experience.

Experience in customer relations or teaching preferred.

Experience in third party payer requirements preferred.

Automated billing systems experience.