Hospital- Billing / Collections

Position is responsible for submission of claims and collection on all secondary insurance hospital-clini patient accounts. Oversees sending statements to hospital -clinic patient and collect on amounts not paid by insurance. Monitors outstanding hospital-clinic accounts and applies/collects on late charges; received an answers billing-related inquiries; and assists in preparing credit refunds.

Responsibilities

Analyses, verifies, and spot reviews patient records and insurance information on patient accounts to validate that Account Representative has worked the accounts in a timely and efficient manner, applying proper and effective billing and collection procedures and techniques. Oversees that claims are consistently prepared and submitted in a complete and accurate manner, according to the established time frame. Reviews all patient account files, apply charges, investigate and resolve accounts discrepancies. Reviews payment received and contractual write-offs imposed and oversee that a statement to the patient will be sent for remaining balance after the insurance has paid accurately. Oversees the completion of days-end, month-end, and year-end closing, making sure all procedures are followed according to procedures/instructions, and that all reports are distributed to all corresponding departments in a timely manner. Resolves problems that arise in billing and collecting for charges to insurance companies, and consistently responds to third party payer and patient inquiries. Performs backup role in billing and collecting commercial and government insurance according to guidelines set forth by individual insurance companies. Consistently demonstrates ability to determine and coordinate priorities in workload to ensure that all required tasks are completed by posted deadlines. Coordinates job related tasks in an effective and orderly fashion, which fosters maximum production and efficiency during assigned task. Recognizes and acts upon duties not directly responsible for.

Required

Qualifications

Preferred

Education

High school education or GED with emphasis in business and office occupations.

Experience

Prior admission or insurance experience

Degrees, Licensure, And/or Certification

Knowledge, Skills, and Abilities

Must have strong computer skills, computerized spreadsheets, word processing, and office machines. Effective speaking and interpersonal communications skills; must demonstrate confidentiality, integrity, and effective written communication skills, including strong customer service.

Ability to read, write, speak and understand English