91000-3, Patient Accounts Billing Representative

Essential Functions:

•  Integrity
  o Daily download claims and submit or print electronic and paper claims.
  o Daily reconcile submitted claims reports with payer acknowledgment accepted claims reports and
  follow up on any discrepancies
  o Daily review EOB’s, denial, zero pays, and perform any follow up.
  o Operate office equipment, such as voice mail messaging systems, and use word processing,
  spreadsheet, or other software applications to prepare reports, invoices, financial statements,
  letters, case histories, or medical records.
  o Complete insurance or other claim forms.
•  Attention to Detail
  o Timely monitor denial management and follow up.
•  Dependability
  o Regular and Reliable Attendance.
  o Performs follow up on all assigned collection quest in a timely manner and rebill insurance when
  necessary.
  
•  Independence
  o Perform insurance claim follow up utilizing payer websites, phone or correspondence to ensure
  timely payment.
  o Utilizing billing software claim scrubber to ensure accurate claim information and correct any
  edits.
  o Transmit correspondence or medical records by mail, e-mail, or fax.
•  Concern for Others
  o Answer telephones and direct calls to appropriate staff.
  
•  Compliance
  o Promotes and adhears to the provisions of the compliance program.
  o Communicates the mission, ethics and goals of the facility.
  o Complies with all organizational policies regarding ethical business practice
  o Promotes and adheres to the TVHS core values and Standards of Behavior