Description- Supervision
- Provides support and acts as a team lead over patient charge posting billing and collection operation assists with workrelated problems and assists coworkers with patient account inquiries in a professional and considerate manner that promotes efficient departmental operation.
- Promotes the quality and efficiency of his/her own performance through participation in staff educational programs approved continuing education courses and specialized skill training programs.
- Provides quality training and orientation for assigned employees informs coworkers of relevant departmental policies and procedures allocates tasks to coworkers as needed and implements and monitors departmental work schedules and duty assignments.
- Payor Relations
- Promotes efficient departmental operations by monitoring controls to ensure appropriate submission billing and payment cycles and recommending/monitoring procedures for followup on third party approvals billing and collection for overdue accounts.
- Promptly answers inquiries from patients coworkers and employees regarding patient accounts in a kind and courteous manner.
- Performs followups on unpaid claims by contacting intermediary or insurance carrier in order to ensure that patient is free from financial burden. Prepares a list of past due accounts for collection in order to ensure that legal and payer requirements are met and patients interests are appropriately represented.
- Works with insurance companies on provider contract agreements in order to ensure that correct adjustments to patient accounts are applied in a manner that best represents the financial interests of the patient.
- Receivables
- Ensures Implementation of established billing and collection procedures and ensures that patient accounts receivable records comply with established policies and procedures in an effort to promote quality health care services and prudent hospital management.
- Monitors accounts receivable and cash receipt functions and keeps current on governmental third party and private insurance payer reimbursement billing procedures in an effort to ensure the proper and efficient handling of patient billing procedures.
- Other Duties As Assigned
- Performs other duties as assigned or requested.
QualificationsMINIMUM REQUIREMENTS:
Experience: 3 yrs experience of relevant experience. Bachelors Degree substitutes 2 yrs exp. Associates Degree trade school or certification substitutes 1 yr exp. Some examples of relevant experience include LPN RN Revenue Cycle Accounting Bookkeeping Business Billing Coding or call center environments.
Education: High School or equivalent
Special Training and Skills: Knowledge of ICD10 CPT and HCPCS coding; ability to read and understand third party payer explanation of benefits.
Required Experience:
Unclear Seniority