- Analyses, verifies, and spot reviews patient records and insurance information on patient accounts to validate that Account Representative has worked the accounts in a timely and efficient manner, applying proper and effective billing and collection procedures and techniques.
- Oversees that claims are consistently prepared and submitted in a complete and accurate manner, according to the established time frame.
- Reviews all patient account files, apply charges, investigate and resolve accounts discrepancies.
- Reviews payment received and contractual write-offs imposed and oversee that a statement to the patient will be sent for remaining balance after the insurance has paid accurately.
- Oversees the completion of days-end, month-end, and year-end closing, making sure all procedures are followed according to procedures/instructions, and that all reports are distributed to all corresponding departments in a timely manner.
- Resolves problems that arise in billing and collecting for charges to insurance companies, and consistently responds to third party payer and patient inquiries.
- Performs backup role in billing and collecting commercial and government insurance according to guidelines set forth by individual insurance companies.
- Consistently demonstrates ability to determine and coordinate priorities in workload to ensure that all required tasks are completed by posted deadlines.
- Coordinates job related tasks in an effective and orderly fashion, which fosters maximum production and efficiency during assigned task.
- Recognizes and acts upon duties not directly responsible for.
Hospital- Billing - Harrison, United States - North Arkansas Regional Medical Center
Description
Overview
Position is responsible for submission of claims and collection on all secondary insurance hospital-clini patient accounts. Oversees sending statements to hospital -clinic patient and collect on amounts not paid by insurance. Monitors outstanding hospital-clinic accounts and applies/collects on late charges; received an answers billing-related inquiries; and assists in preparing credit refunds.
Responsibilities
Qualifications
Required
Preferred
Education:
High school education or GED with emphasis in business and office occupations.
Experience:
Prior admission or insurance experience
Degrees, Licensure, and/or Certification:
Knowledge, Skills, and Abilities:
Must have strong computer skills, computerized spreadsheets, word processing, and office machines. Effective speaking and interpersonal communications skills; must demonstrate confidentiality, integrity, and effective written communication skills, including strong customer service.
Ability to read, write, speak and understand English