Responsibilities:

Performs billing functions to review and take necessary actions to resolve billing errors ensuring clean claim submission.

Work directly with third party payers, internal and external customers, and other contract clients toward effective and efficient collection results on accounts assigned by management in accordance with department policy and procedures.

Maintains a thorough knowledge of third party billing and collection requirements for payers assigned for handling.

Utilizes all resources available, including electronic inquiries to verity eligibility, benefits and claim status.

Exercises good judgment towards account resolution and documents all activity on account in a clear, accurate and consistent manner utilizing appropriate online system.

Work correspondence, explanation of benefits and remittance advice daily ensuring a 72-hour turnaround period is met.

Demonstrates excellent customer service skills when responding to incoming or outgoing calls in a most courteous manner providing clear and appropriate information as needed.

Demonstrates the ability to reconcile payments and contracts when reviewing accounts in order to ensure the accuracy of the account balance.

Advise team lead and/or supervisor of any billing errors, payer trends in claims processing, denials or payment fluctuations, to ensure proper handling and escalation as necessary.

Meet departmental productivity and quality assurance standards in accordance with departmental policies.

Adhere to all hospital regulations associated with Compliance (to include HIPAA, etc.)

Education/Experience:
High school or equivalent with some billing experience
Medical Biller knowledge

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Ambulance Billing