Billing Representative - The Woodlands, United States - Protouch Staffing

Description

• Position is responsible for analysing patient accounts, researching account history and determining the appropriate information for billing patients' third-party insurance carriers within a specific time period.
• Prepares third party billing of Medicare, Medicaid, Blue Cross, Campus, HMO's, PPO's, POS's Workers' Compensation and Special Contracts.
• Analyses accounts for errors, adjustments and credits, issuing corrected entries when necessary.
• Communicates with other hospital departments: Medical Records, Business Office, Accounting, Labs, Physical Therapy, Infusion suites, Radiology and Materials Management to clarify coding or charges needed to complete billing process.
• Call Insurance Companies and / or patients to obtain missing or necessary information to complete the billing process.
• Maintains working knowledge of ICD10 and CPT4 codes for specified services rendered.
• Monitors regulations set in place by compliance programs to maintain conformity
• Utilizes computer skills of various software packages: Microsoft Office, Excel, Word, Power Point Electronic billing, on-line reporting programs, Electronic Mail, data base management and systems / mainframe / file server applications.
• Prepares daily, weekly and monthly reports, maintain and monitor 72-hour reports, lab compliance reports, error forms, return mail procedures, productivity reports and other departmental reports
• Three (3) years hospital / medical insurance billing experience involving public contact, use of computers and related software, medical terminology and forms completion.
• Must have knowledge of third-party billing procedures as well as state and federal regulations governing billing.
• Proficient PC skills including: EPIC, Microsoft Word processing, Excel spreadsheet data entry & construction of new data sheets, Access database, Microsoft Outlook, Electronic Billing , Imaging software and calculator by touch.
• Must have strong analytical and problem-solving skills, statistical analysis, maintaining intense concentration, and the ability to handle multiple priorities and / or special projects.