What are the responsibilities and job description for the Account Representative/ Biller position at Bonner General Health?
Department: Patient Financial Services
Status: Full-time, 80 hours per pay period
Shift: Monday-Friday, 8:00am-4:30 pm
POSITION SUMMARY: Manages hospital inpatient and outpatient claims with payers to ensure maximum and prompt reimbursement is received. Readily assists the public in understanding billing procedures to maximize the full benefits from their coverage while maintaining good public relations.
ESSENTIAL FUNCTIONS:
- Responsible for processing and collecting on insurance claims within assigned responsibility in a timely and efficient manner, performing all associated duties in order to ensure completeness and accuracy of all claims information, facilitating maximum reimbursement
- Inputs data accurately and efficiently in the information system (central or billing)
- Post payments and adjustments accurately to the appropriate accounts and makes notes as needed for reference and follow-up
- Demonstrates thorough knowledge of third-party payers’ claims requirements, UB04, and HCFA 1500
- Assists customers/patients promptly, efficiently and courteously regarding patient accounts whether by telephone, mail or personal inquiry
- Researches and processes credit balances and refund requests in a timely manner
- Follows through on all issues identified requiring action as a result of patient inquiry
- Performs all duties with minimum supervision: exhibits innovation and good judgment as well as thorough knowledge of ethical and billing procedures
- Performs cash application process and all related functions ensuring compliance with cash receipt policies and procedures
- Researches and reconciles accounts to ensure accurate processing, maintaining the integrity of the accounts receivable
- Monitors the timely posting of electronic remittances and resolves any discrepancies
- Maintains all documentation and records in accordance with federal and state regulations
- Provides coverage for reception area as necessary
- Actively participates as a team member in resolution of problems as they are identified
- Analyzes current procedures utilizing the FOCUS-PDCA principle, bringing suggestions for improvement to team members and management for consideration
- Demonstrates the ability to communicate and receive constructive feedback in a positive manner
- Maintains strict confidentiality regarding knowledge of all patient information (HIPAA), confidential staff and hospital business
- Additional Essential Functions as outlined in the job description
SKILLS: Ability to read, write legibly and comprehend the written and spoken word in English; Basic computer literacy and ability to effectively learn new software programs required; working knowledge of word processing and spreadsheet programs preferred; Must be able to accurately type 50 wpm; Ten-key by touch; Demonstrated filing, record keeping and bookkeeping skills; Strong organization and analytical problem solving skills; Highly developed written and oral communication skills; Ability to handle multiple projects; Ability to work independently
EXPERIENCE: Minimum two (2) years business office experience. Prefer hospital-related or one year business school; health care billing/collections highly preferred
SUPERVISED BY: Business Services Manager
PHYSICAL DEMANDS: Physical Demands of position are listed in job description
EDUCATION: High School diploma or equivalency
