What are the responsibilities and job description for the Patient Accounts Billing Representative position at Tri Valley Health System?
Non-Exempt, FT day position (Not a remote position)
General Summary:
Responsible for all insurance billing and recovery of assigned receivables. Utilizes all systems available and takes responsibility for accuracy and compliance of work performed.
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
Education and Experience:
- High School/G.E.D
- 1-2 years of medical experience preferred
Salary : $37,859 - $46,288