Position Summary

Performs follow-up on insurance billing and collection activities, verifying the accuracy and completeness of insurance records, and claims, contacting insurance companies as well as other related duties to expedite payments from various payers for physician services.

Job Description

Primary Duties & Responsibilities:

• Performs insurance follow-up billing and collection duties on various financial classifications to ensure timely and accurate payment of physician charges.
• Reviews patient accounts to verify the accuracy of information including insurance, eligibility, invoice resolution, correspondence, remittances, requests for additional information, or other appropriate handling.
• Utilizes Epic, system tools, and payer websites for claim submission, claim status, attachments, eligibility, and authorization/referral inquiry. 
• Consistently meets the Quality Assurance (QA) and meaningful efficiency standards of working invoices/accounts each day and follows best practices for one-touch resolution as established within the department.  
• Interacts with management and staff members to discuss issues.
• Performs other duties as assigned by the supervisor and/or manager.

Working Conditions:

Job Location/Working Conditions:
Normal office environment.

Physical Effort:
Typically sitting at a desk or table.

Equipment:
Office equipment.

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education:

High school diploma or equivalent high school certification or combination of education and/or experience.

Certifications/Professional Licenses:

No specific certification/professional license is required for this position.

Work Experience:

Bookkeeping/Accounting And/Or Medical Collection Setting (2 Years)

Skills:

Not Applicable

Driver's License:

A driver's license is not required for this position.

Preferred Qualifications:

• Working knowledge of computers, general office equipment, telephone console, medical terminology, collection techniques and communication skills that involve dealing with confidential information.

Skills:

Claims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Telephone Communications

Grade

C06-H

Salary Range

$17.34 - $25.40 / Hourly