Job Description
Job Description
Description :
Job Summary : Records payments to patients' accounts and maintains accounts receivable records with accurate data by performing the following duties.
Essential Functions :
- Manage accounts receivables for current insurance claims.
- Generates and mails invoice to patients, as required and initiates billing for secondary claims.
- Follow up with patient and / or patient's insurance to obtain necessary information and / or documentation in connection with claim appeals.
- Research and processes patient claims of Explanation of Benefits invoice payments.
- Research and processes charge backs, returns, and bad checks.
- Answer accounts receivable phone inquiries and follows up.
- Call and / or mail correspondence to patients as necessary in order to update accounts.
- Assists with related special projects, as required.
- Works effectively with other company employees, managers, and departments.
- Performs all job functions with Company Mission, Vision, and Goal Statements in mind.
Requirements :
Job Requirements and Qualifications :
Education, Certificate and Licensure
High school diploma or general education degree (GED); minimum of 1 year experience with benefit verifications and authorization; or equivalent combination of education and experience.
Physical Demands
Prolonged periods sitting at a desk and working on a computer.Must be able to lift up to 10 pounds at times.Ability to occasionally stand, walk, reach with hands and arms, and bend or stoop as needed.Regular use of hands / fingers to operate computer keyboard, mouse, and office equipment.Ability to see and read information on computer screens and documents.Other Requirements
Must possess excellent verbal communication skills with the ability to multi-task and work independently.Knowledge of insurance guidelines and DME experience a plusMust demonstrate proficient ability and practical knowledge of computers, software, and other office equipment.Must demonstrate effective time management skills while working independently with minimal supervision.Must demonstrate proficient ability to understand, apply, and interpret an extensive array of information, variables, and instruction where only limited standardization exists to define problems, collect data, establish facts, and draw valid conclusions.Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.Must demonstrate proficiency and productivity in a fast-paced environment with unscheduled interruptions while maintaining acceptable judgment, responsibility, and assumption for decisions, consequences, and results.