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Role Description

This role involves collecting receivables and monitoring past due accounts. It also includes researching and resolving insurance claim discrepancies.

• Reviews patient account files received for discharged patients and ensures the accuracy and completeness of all documents.
• Identifies portion of charges to be billed to patients’ insurance companies, Medicare or other third parties, and those to be billed to the patient directly.
• Prepares appropriate billing statements for insurance companies, Medicare or other third parties.
• Replies to patients’ and insurance company requests for information.
• Assists in the preparation of billing activity reports.
• Prepares and maintains billing files and reports.
• Investigates delinquency cases to identify any special circumstances affecting payment delays and follows up with appropriate parties.
• Contacts third party payer organizations and/or patients as necessary to facilitate the timely payment of past due charges or arranges alternative settlement plans.
• Identifies problem delinquencies and recommends their appropriate disposition (i.e., referral to collection agency or other legal action, or write-off).
• Prepares and maintains records and reports documenting the status and amount of past due accounts, and the timing and nature of their disposition.

Qualifications

• High School Diploma or equivalent.

Requirements

• 2 years hospital medical billing experience preferred.
• Excellent oral and written communication and interpersonal skills.
• Computer literate.
• Knowledge of Medicare, State Programs, and commercial billing.
• Must read, write and speak fluent English.
• Must have good and regular attendance.
• Performs other related duties as assigned.