Scheduled Hours

40

Position Summary

Performs advanced follow-up on insurance billing and collection activities, makes collection calls, verifies the accuracy and completeness of insurance records, and claims, contacts insurance companies and/or collection agencies, 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. 
• Makes collection calls to insurance companies and/or patients to ensure timely payment of claims.
• Contacts insurance companies regarding posting payments and collection agencies regarding payment reports.
• Supports customer service unit in answering billing and collection questions.
• Assists with training new staff.
• Consistently meets the Quality Assurance (QA) and meaningful efficiency standards of working invoices each day and follows best practices for one-touch resolution as established within the department.
• Interacts with management and staff members to discuss issues.
• May act as Team Lead.
• Assists with special projects.
• 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 desk or table.
• Repetitive wrist, hand or finger movement (PC typing).

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:

Billing Or Insurance (3 Years)

Skills:

Not Applicable

Driver's License:

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

Preferred Qualifications

Education:

No additional education unless stated elsewhere in the job posting.

Certifications/Professional Licenses:

No additional certification/professional licenses unless stated elsewhere in the job posting.

Work Experience:

Post-Secondary Education (2 Years)

Skills:

Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Medical Terminology, Office Equipment, Telephone System

Grade

C08-H