Clinic Billing and Patient Account Representative

Job Description

Job Description

Benefits :

• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off

GENERAL DESCRIPTION :

Responsible for various day-to-day patient account functions, including patient and third-party billing, remittance advice and payment processing, problem resolution, collection letters, old balance review, and patient inquiry. Provides diagnostic and procedural coding for billing and referrals. Provides information and / or resolves third party insurance coverage issues. Balances daily receipts.

MINIMUM QUALIFICATIONS :

High School graduate or GED

Demonstrated computer skills, clinic office systems, spreadsheet, and word processing.

Demonstrate well-developed written and oral communication skills.

Demonstrate understanding of customer service principles.

Ability to accurately record and transmit detailed information.

Ability to interpret and comply with applicable regulations.

Ability to exercise good judgment in evaluating situations and making decisions.

Ability to utilize tact and sensitivity to timing personal transactions.

Previous experience in operation of office machinery : personal computer, copier, FAX, postage machine,

typewriter, and printer

A means of transportation that would facilitate travel between clinics and out of town meetings and

training when it is deemed necessary and appropriate. Travel may be required with or without advance

notice.

PREFERRED QUALIFICATIONS :

Some college coursework preferred.

Preferred two years current experience and working knowledge in coding and billing functions of third-party

payer systems, including Medicare, Medicaid, and commercial insurance.

JOB RESPONSIBILITIES :

Primary :

Accounts Receivable functions including :

File claims, both electronic and paper, to all third-party payers

Post payments / remittances to patient accounts

Monitor claim payments and capitated payments and adjudicate payment errors.

Manage all aspects related to timely filing of claims including correcting claim errors and re-filing.

Monitor Provider schedules to ensure all charges have been submitted for every patient seen.

Provide a list of missing charges to each provider weekly.

Balance daily receipts to computer reports

Maintain current working knowledge of diagnostic and procedural coding and provide updates to staff as

requested.

Maintain working knowledge of third-party payer programs and requirements.

Assists with ongoing accounts receivable review process, including processing collection letters as

scheduled and reviewing accounts for bad debt processing.

Assist patients with resolution of account balance problems or discrepancies.

Assist with chart audits for correct coding.

Assist with denial tracking information collection.

JOB ACCOUNTIBILITIES :

Responsible for the timely and accurate preparation and submission of all initial and refiled third-party

insurance or reimbursement claims, in accordance with program guidelines and requirements.

Responsible for the timely and accurate processing of patient and third-party payments

Responsible for balancing daily receipts timely and accurately

Provide assistance to staff and patients regarding billing issues and problem resolution in a courteous and

timely manner.

Contribute to a team-oriented approach to all business office functions.

Show respect to fellow employees through all forms of communication, including appropriate verbal and

written communications as well as appropriate body language.

Perform other duties as assigned.

BENEFIT PACKAGE INCLUDES :

Paid Health Insurance for employee