- Performs general administrative duties, which include answering telephone, keyboarding, filing, scanning, copying and maintaining records, faxing.
- Greets and interacts professionally with all patients that enter the facility.
- Check insurance eligibility electronically and call patients to obtain updated insurance information.
- Obtain benefits for surgical patients.
- Responsible for making pre-op calls to surgery patients to go over estimates and financial obligations and explaining financial options, including payment plans and counseling regarding patient bills.
- Obtain authorizations and pre-certifications for the next day.
- Understand EOBs and answer patient questions regarding EOBs, payments, and insurance.
- Perform charge entry function. Enters all insurance and patient payments daily, including using the practice clearinghouse and EMR.
- Post patient payments.
- Perform all close of day activities, maintain petty cash, calculate daily collections and prepares bank deposit.
- Collects all co-pays and deductibles, and co-insurances.
- Bills all claims to appropriate payer within three days of service.
- Collects, opens, sorts and distributes mail.
- Mails or electronically sends all correspondence daily or as needed including billing statements and correspondence with insurance companies.
- Responds to requests for medical record information from patients, physician offices, and other outside sources.
- Maintains patient database.
- Maintains confidentiality of all patient information.
- Reconciles bank statements for PC and ASC.
- Maintains accounts receivable including researching patient accounts, pulling up aging reports, fixing errors with claims and reporting to Dr. Murphy on a monthly basis concerning the AR report/cash flow.
- Calling insurance companies about claim errors/denials.
- Responsible for completing cancer policies, FMLA and Disability forms and collecting and posting charges as needed.
- Must be organized and detail oriented.
- Other administrative or billing duties as assigned.
- Knowledge, Skills, and Abilities: Must be familiar with standard concepts, practices, and procedures within the secretarial field. Must have the ability to perform data input, computer operations, verbal and written communications, math, medical terminology and demonstrate creativity.
- Equipment Used: Properly trained to use all equipment in medical office including but not limited to: computers, printers, photocopier, facsimile machine, telephone, mail stamping machine, calculator.
- Mental Demand: Reads documents, detailed work, confidentiality, problem solving, reasoning, verbal communication, written communication, customer contact, multiple concurrent tasks, frequent interruptions.
- Communications: Interacts with staff, physicians, patients, administration, outside agencies, and other departments daily. Interactions may be via telephone, in writing, E-mail, or face-to-face. Must demonstrate exceptional interpersonal skills when dealing with the public on a daily basis. This involves making patients feel comfortable and at ease when they arrive for surgery, and helping to keep patients informed during laboratory work. Expectations include timely and accurate distribution of information.
- Physical Effort: Medium Work: Must be able to lift, reach above head, bend at the waist or kneel, stand or sit for long periods of time, display manual dexterity, walk or otherwise transport self to other areas of the practice, hear or detect pages and the phone and respond appropriately, communicate with other individuals for the provision and gathering of information.
- Working Conditions: Category II: Minimal Risk, position contains tasks that occasionally involve exposure to blood, body fluids or tissue.
- Education, Experience, and Training: Requires a high school diploma or its equivalent. Prefers 3 to 5 years of medical billing/insurance/coding. Certified coding certificate a plus but not required. Previous skills in healthcare is desirable. Computer skills a must.
- Population Being Served By Position: The age categories served by this role is primarily adult and geriatric adult.
- Ability to relate to fellow employees and to work under pressure.
- Ability to relate to and respond to the needs of patients.
- Ability in recognizing needs and respond to situations without constant prompting. Also, must follow-up on questions or situations without being reminded.
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Revenue Cycle Specialist - Greenwood, United States - Optima Dermatology
Description
Dermatology Group Seeks Revenue Cycle Specialist Greenwood, INThe Indiana Skin Cancer Center is recruiting a full time Revenue Cycle Specialist to join our team in Greenwood, IN. ISCC is a partner of Optima Dermatology.
Position Details:
Provide general administrative support in regard to insurance, billing and revenue cycle duties to the Indiana Skin Cancer Center.
Responsibilities:
These standards will be used in measuring and appraising the performance of the employee in this position.
The Indiana Skin Cancer Center's mission is to provide only the highest quality, compassionate care for those requiring dermatologic surgery. The Center is committed to improving the health of our patients by focusing on comfort while implementing state of the art techniques to meet the needs of our patients and their families.
