Job Details

Job Description

The AR and Collector, biller employee performs the duties required for the office & surgical procedures and sending out the proper billing form(s) to the insurance company or self-payer for our patients on the denial of payment(s).  Follow-Up of all AR reports and rebilling or sending out a new claim is required on a timely basis. Collect outstanding billing on timely basis. Follow-ups reported.

Qualifications

1. Knowledge of Microsoft Office and Excel
2. Knowledge of Medical Terminology and Surgical Procedures
3. Knowledge of Software Billing Module
4. Good communication skills with other office personnel
5. Self-starter and task completion with time management performance
6. Service Skills-Demonstrates customer, team, and interdepartmental participation based on continuous quality improvement principles
7. Research manuals on codes and medical terminology
8. Certificate from a Billing/Coding course is beneficial
9. Collection experience beneficial

Physical Demands

The job requires long hours of sitting and computer screen observation. There is moderate exercise in bending, walking and speaking on the telephone. Must have full hand and body use for demands.

Job Specifics

1. Review the AR report every month and work the denials from 60-days on.
2. Post the 00 payments in patient account
3. Know the EOB and reason for denial, responding to the need to resubmit a claim.
4. Communication with Administration and Accountant is on-going and meetings are as needed. Audits of the transactions are completed and maintained.
5. Telephone insurance companies or patients on outstanding bills to be paid.
6. Log weekly/monthly outstanding accounts and status on payments due.
7. Record all transaction payments on Excel and keep reports on adjustments.
8. Be able to learn on the job and apply knowledge obtained from adjusters.

Additional Responsibilities

1. Complies to all Policies and Procedures
2. Shares information on changes in billing and coding process to Administration.
3. Maintains work area and OSHA regulations.
4. Maintains HIPAA regulations and confidentiality, privacy, security, and decision making.
5. Adapts easily to changes in laws and work assignments due to the policies &laws.
6. Attends and conducts required meetings on billing and coding and A/R to Medical Director when required.
7. Interacts with customers, who may include patients, visitors, insurance adjustors and physicians of the surgery center upholding the mission and vision.
8. Works toward the goals and objectives set by the job description, Administration and the employee holding this position.