Professional Billing Claims Follow Up Rep II - Vernon Manor

Job summary

Prepare invoices billings UB-04 and 1500 claim forms to be sent to 3rd party payers for payment indicating individual line items for services and total costs Review charges Obtain and evaluate family third party payers and agency resources for payment of charges Managing patient billing and ensure procedures are billed according to contracts transmit or mail all paper claims review correspondence follow up as needed Maintain update departmental system including templates payer physician information Act as preceptor new employees Perform specialty services functions Act resource within the department division Provide instruction non-routine functions Serve liaison Physicians Billing Service Admitting Outpatient Surgery Outpatient Department Patent Financial Services other Cincinnati Children s departments Obtain evaluate family third party payers agency resources payment charges Counsel patient third party coverage present financial aspects Determine eligibility State Medicaid Social Security outside funding Complete paperwork eligible patients medical financial applications Coordinate inpatient outpatient admissions Coordinate information inpatient outpatient charge systems Input charges relative information Manage accounts receivable data collection timely accurately correct period Research third community physician charges maintain usual customary competitive Check update charge master Conduct utilization review division conjunction Cincinnati Children s Utilization Review department Process post balance payments accounts time accuracy correct period Provide Quality Assurance reports division

Qualifications

• High school diploma equivalent
• 2 years work experience related job discipline

Job description