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Description
Provides professional billing assistance and customer service to patients, insurance representatives, and collection agencies. Ensures that the billing data is correct and stays up-to-date with changes in the hospital billing system.
Essential functions include but are not limited to:
- Prepares all inpatient/outpatient billings within their patient segment in a timely manner.
- Post all patient accounts adjustments, including refunds, bad debts, financial assistance, debits/credits (admin. adjustments), employee and other discounts
- Obtains financial arrangements on all personal pay patients and patient deductibles.
- Verifies all patient demographics and insurance information is correct.
- Verifies insurance coverage on commercial insurance.
- Follows up on all types of insurance.
- Mails statements to patients after being generated in a timely manner.
- Mails collection letters and makes phone calls to patients that have not made payments.
- Responds to all inquiries regarding patient accounts professionally, in a polite and timely manner.
- Prepares monthly write-off list.
- Sends appropriate accounts to the collection agency.
- Maintains inpatient/outpatient billing files.
- Remains knowledgeable of the fundamentals of hospital billing.
- Performs assigned duties independently with minimum supervision. Recognizes and performs duties that are not directly assigned.
- Able to adapt to change in workload without interference to the quality of work.
Requirements
Professional Requirements:
- Completes annual education requirements.
- Maintains patient confidentiality at all times.
- Reports to work on time and as scheduled, completes work within designated time.
- Wears identification while on duty.
- Completes in-services and returns in a timely fashion.
- Attends annual review and department in-services, as scheduled.
- Represents the organization in a positive and professional manner.
- Complies with all organizational policies regarding ethical business practices.
- This position is responsible for wholehearted, genuine operations of all aspects of the safety and health program – including compliance with rules and regulations- and for continuously practicing safety and health while performing their duties.
- Perform tasks which are supportive in nature to the essential functions of the job, but which may be altered or redesigned depending upon individual circumstances.
Regulatory Requirements:
- High school graduate or GED equivalent.
- Minimum of 1 year experience in a hospital billing office or equivalent
- Associates degree preferred.
Physical Requirements:
- Prolonged periods of sitting, standing and walking
- Requires normal vision range
- Requires hand-eye coordination and manual dexterity
- Requires repetitive motion, including data entry and filing.
- Ability to lift/push/pull a minimum of 10 pounds.
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