Job Posting for Patient Acct Biller/ Collector Level I at Thomas Health System

JOB SUMMARY

Patient Accounting Biller/Collector is responsible for managing the financial activities of patient payers, from the time products or services are dispensed until the insurance payment cycle ends. Act as a liaison between billing departments and health clinicians, reimbursement specialists will manage all functions regarding claims processing, such as overseeing disputed, delayed or rejected claims. Responsible for submitting medical claims to insurance companies and payers. Requires attention to detail and experience with the electronic and paper systems used in billing healthcare services. Responsible for the timely submission of technical or professional medical claims to insurance companies. In addition to being communicative, need to be independent, decisive and interpersonal interaction with patients; state, federal and private representatives, fiscal intermediaries; and managed care payers.

EDUCATION

LICENSURE

EXPERIENCE

Employers prefer candidates who have experience in collections, provider relations, patient access, accounting or contracting. Minimum of one to three years of experience in a Business office setting preferred.
Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
Familiarity with CPT and ICD-10 Coding.
Effective communication abilities for phone contacts with insurance payers to resolve issues.
Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds

CERTIFICATION

Employees without certification from either NAAHAM or HFMA will be eligible for a Level I Positions

COMPUTER/TYPING/MATH SKILLS

Proficient in creating and utilizing MS Excel spreadsheets and all other MS Office programs. Type above average and key above average with 10 calculator.
Competent use of computer systems, software, fax machine, copy machine, and 10 key calculator.
Use of scanner, electronic signature cards, and credit card machines.

JOB SPECIFIC REQUIREMENTS

In charge of reporting reimbursement trends and issues to managed care organizations and management.
Reimbursement specialists maintain working relationships with payer parties, such as insurance companies and government agencies, to fix slow payment issues or reimbursement problems.
Keep up on outstanding claims until the final payment is made. Meeting daily and monthly A/R reporting and follow-up. Resolved billing problems using collection techniques to keep account receivables current.
Appropriately identified errors on denied/rejected claims to submit for refiling.
Provided quality service to customers.
Provide secondary customer service to primary clients' patients in attempt to remediate account issues.
Report contact disputes to appropriate team member(s) in order to have accounts resolved within timely limits.
Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
Following up on unbilled claims within standard billing cycle timeframe.
Maintain strictest confidentiality; adhere to all HIPPA guidelines/regulations

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Patient Acct Biller/ Collector Level I