Medical Billing Representative Part-Time

Job title

Accounts Receivable Coordinator

Reports to

Practice Administrator

Job purpose

The Accounts Receivable Coordinator is responsible for all facets of medical billing and accounts receivable management including charge entry, payment posting, customer service and follow-up in accordance with practice protocol with an emphasis on maximizing patient satisfaction and profitability. Responsible for reviewing and updating patient demographic information in the practice management system. Responsible for reviewing the physician’s coding at the time of charge entry to ensure accuracy, timely payments, and to maximize revenue. Responsible for processing and uploading patient statements electronically. Responsible for submitting insurance claims both electronically and paper once per day. In addition to the day-to-day billing activities, he/she assesses the billing cycles and anticipates problem areas for early intervention.

Duties and responsibilities

Data Entry:

• Verify and update all demographic and insurance information in patient registration of the practice management system to ensure timely reimbursement.
• Review the physician’s coding at charge entry to ensure compliance with insurance guidelines and to ensure accurate and timely reimbursement.
• Post all charges into the practice management system in accordance with practice protocol with an emphasis on accuracy to ensure timely reimbursement and maximum patient satisfaction. All charge batches should balance with the total dollar amount on the batch control log.
• Post all payments, by line-item, received for physician’s professional services into the practice management system including co-payments, insurance payments, and patient payments in accordance with practice protocol with an emphasis on accuracy to ensure maximum patient satisfaction and profitability. All payment batches must be balanced in their dollar value of payments and adjustments with the batch control log.

Claim Processing/Account Follow-Up:

• Proficiency with all facets of the medical practice management system including patient registration, charge entry, insurance processing, payment entry, reports and ledger inquiry.
• Submit primary and secondary insurance claims electronically and paper each day to ensure timely reimbursement.
• Follow-up on all returned mail.
• Process refunds to insurance companies and patients in accordance with practice protocol.
• Monitor and enter reimbursement rates from managed care networks and insurance carriers to ensure reimbursement is consistent with contract rates.
• Process and upload patient statements electronically.
• Provide customer service both on the telephone and in the office for all patients and authorized representatives regarding patient accounts.
• Provide information pertaining to billing, coding, managed care networks, insurance carriers and reimbursement to the Practice Administrator.

Administrative:

• Run end of day reports.
• File all charge, payment and adjustment batches in the appropriate format by batch date for quick reference.
• Open mail and distribute appropriately.
• Complete and enter bank deposits into accounting system.
• Transport daily deposits to the bank.
• Monitor the supply and quality of forms, envelopes and supplies as required to perform job functions.
• Maintain an organized, efficient and professional work environment.
• Adhere to all practice policies related to OSHA, HIPAA and CMS Compliance.
• Other duties as assigned.

Miscellaneous:

• Provides cross coverage required to ensure efficient and professional practice operation.
• Work on individual special projects
• Participate in appropriate Quality Improvement activities

Training

• Upon hire and annually thereafter, participate in training for:
• Care Coordination
• Patient Self Management
• Population Management
• Health Literacy
• OSHA and Blood borne Pathogens
• HIPAA
• COLA and other lab related activities
• Fire extinguisher usage

Qualifications

This position requires a minimum of one year of accounts receivable experience preferably in a Pediatric setting

Qualifications include:

• Ability to multi-task successfully
• Requires strong customer service skills.
• Excellent verbal and written communication skills.
• Ability to work independently and carry out assignments to completion within the parameters of instructions given, prescribed routines, and standard acceptable practices.
• Must exhibit a good rapport with physicians, nurse practitioners, staff and patients.
• Requires a minimum typing speed of (35) words per minute and ten-key touch.
• Requires extensive knowledge of managed care networks and insurance carriers.
• Requires extensive knowledge of accounts receivable functions including CPT and ICD-10 coding.
• Requires proficiency in general office automation including operation of fax machines, copy machines, adding machines, postage machines, and multi-line phone systems.

Working conditions

The Accounts Receivable Coordinator requires a person to work a scheduled 8 hour shift. This position requires the ability to maintain a calm demeanor in order to resolve issues that can develop from challenging clients either by phone or in the office.

Physical requirements

The Accounts Receivable Coordinator needs to be physically able to be seated at the desk for the majority of the shift. They must be able to talk, listen, and speak clearly on the phone.

Job Type: Part-time

Pay: $13.00 - $17.00 per hour

Schedule:

• Monday to Friday