"Account Administrator-Revenue Cycle"

Position Summary

Under direct supervision, performs billing and account receivable activities to maximize insurance reimbursement and promote faster payments while ensuring compliance with departmental and Physician Organization (PO) billing policies and procedures.

Job Responsibilities

• As needed, assists with the development and implementation of revenue cycle strategies and workflows that will enhance cash collections, expedite account resolution and streamline billing processes.
• Reconciles revenue cycle matters such as past due accounts and invoices; reviews aging balances and takes appropriate actions to resolve unpaid receivables.
• Composes and maintains billing and/or billing compliance associated correspondence. Determines proper account resolution and/or adjustment as needed.
• Performs charge entry and/or payment posting within the practice management billing system as needed. Tracks and resolves issues on denied claims. Resubmits or appeals claims as required. Escalates more complex claim issues when necessary.
• Obtains, reviews and updates patient demographic and insurance information within the practice management billing system.
• Verifies patient insurance eligibility and obtains necessary pre-authorization numbers, if required, prior to appointment date. Facilitates the communication and collection of any fees due from patient.
• Attends workshops, seminars and/or conferences to keep abreast of standards and best practices within the field. Disseminates information to colleagues and/or staff as appropriate.
• Provides back-up for front-end revenue cycle processes, which may include but is not limited to, the check-in/check-out of patients and collection/reconciliation of time-of-service payments, as applicable.
• Answers phones, responds to billing inquiries and disputes.
• Generates reports for analysis.

Education

High School Diploma

Experience

Approximately 2 years of medical billing experience

Knowledge, Skills and Abilities

• Prior experience working with an eMR system.
• Demonstrated knowledge of medical terminology.
• Knowledge of third party reimbursement.
• Knowledge of CPT, ICD9, and ICD10 coding.

Working Conditions/Physical Demands

Standard office work