Billing Representative - Integrations

POSITION SUMMARY : The Billing Representative will process claims and post various types of payments to patient accounts in an accurate manner that is legal, professional, timely and within the guidelines of the company, Medicare, Medicaid and all third-party payors.

Location : Wabash, IN

This role is an on-site position.

Wage will be dertermined based on knowledge, skills, ability and previous experience.

ESSENTIAL RESPONSIBILITIES :

• Demonstrate and uphold the mission statement and values of Bridgeview Eye Partners.
• Review and process medical insurance claims.
• Resolve insurance billing related issues with insurance companies in regard to facility and physician billing.
• Correct and re-bill insurance claims for payment per the billing guidelines of the payor.
• Resolve coding and claim discrepancies with insurance companies.
• Expedite payment from Medicare, Medicaid and third-party payors to reduce accounts receivable aging.
• Respond to denied claims quickly and efficiently to ensure prompt payment.
• Process patient statements and collections.
• Process patient and insurance refunds.
• Post payments from insurance payors as well as patient statements.
• Assist with billing / payment questions from staff / patients at location, by being a resource for insurance coverage and general insurance related questions.
• Communicate issues to Manager along suggested solutions to improve.
• Assist with the education of the office staff to improve collections performance.
• Perform any other related duties as assigned by the Supervisor.

OTHER RESPONSIBILITIES :

EDUCATION AND / OR EXPERIENCE :

COMPETENCIES :

PHYSICAL DEMANDS AND WORK ENVIRONMENT (per ADA guidelines) :

PERSONAL DEVELOPMENT :

In addition to the expectations listed above, each employee must demonstrate a commitment to the organization’s Values, Standards of Conduct, and Standards of Care.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.

For further information, please review the Know Your Rights notice from the Department of Labor.