Physician Biller

Under general supervision, is responsible for accurate and timely billing of all charge sessions for physician professional services to all third party payers and patient self-pay accounts. This includes reviewing the charge sessions / encounters, entry of charges into the accounts receivable system, corrections to third party claims, as needed, to ensure timely reimbursement for physician professional fees. Performs follow-up on aged receivables to determine cause of delayed payment and performs all necessary actions to resolve outstanding balance. Reviews initial denials to determine next steps while responding to billing concerns and working to prevent future denials by communicating with revenue cycle leadership about root causes. Participates in development of staff education and process changes relative to authorizations, coverage, and denials. Participates in quality assessment and continuous quality improvement activities. Complies with all appropriate safety and infection control standards. Performs all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior.

Works under the supervision of a departmental director or designee who reviews work for accuracy and conformance to standard procedures. May direct the work of clerical employees of a lower grade.