Billing/Collection Specialist
Job Posting for Billing/Collection Specialist at United Regional Health Care System
Summary Of Essential Functions
PI240710979
- Verification of patient’s insurance coverage and determines any payment due prior to patient’s visit. Verifies and computes insurance claims, payments, refunds, adjustments, benefits, patient balances and appeals.
- Processes, reviews, abstracts, codes and indexes diseases, operations, treatments on outpatient diagnostic and/or medical records, ensuring governmental compliance on regulatory issues.
- Reviews and interprets billing regulatory issues and applies regulations in day to day billing practices.
- Prepares financial reports, productivity reports, graphs and worksheets.
- High School Diploma or equivalent.
- Minimum of 2 years of recent billing experience which may be obtained through vocational school and related job experience.
- Must be able to communicate effectively in English, both verbally and in writing.
- Knowledgeable of regulatory billing requirements.
- Ability to interpret medical record, concentrate and maintain accuracy in spite of interruptions.
- Initiative to use standard office equipment and to maintain confidentiality with regard to aspects of work.
- Knowledge of medical terminology, anatomy, coding/classification systems, reimbursement principles, and coding software preferred.
- Ability to use personal computer, including but not limited to Microsoft office.
- Ability to organize and make independent decisions, instruct, listen, display professionalism and adhere to confidentiality for employees and patients.
- Knowledge of revenue codes, HCPCS codes, CPT codes, and local codes.
- Willing to learn and effectively maintain electronic medical records.
- Process any questionable amounts due with the Business Office Coordinator according to facility Policy and Procedures. In addition to: communicate with front office staff accounts needing cash collection, and work with Business Office staff to ensure that departmental goals are met.
- Displays understanding of billing practices that are accurate and effective. Complies data to file accurate insurance claims ensuring accuracy and identifying and correcting problems as well as reporting repetitious errors to the coordinator as applicable for education or system corrections. Completes billing process including getting charge information from physicians.
- Codes information about procedures and diagnosis on charges. Includes: Accurately keys charge information into on-line entry program and produces billing. Process tracers in a timely manner to ensure prompt insurance reimbursements and verifies accurate payments and applicable adjustments are posted. Ensures accurate current financial class and filing or billing of next carrier.
- Identifies and resolves patient billing complaints.
- Post insurance and personal payments to accounts using correct journal codes.
- Reviews all diagnoses according to ICD-CM Guidelines and Cpt-4 coding classification systems and regulatory guidelines.
- Monitors private pay patient accounts for delinquency.
- Performs various collection actions including contacting patients by phone and resubmitting claims to third party payers. Follows clinic collection policy guidelines and participates with other staff to follow up on accounts until no balance or turned over to collection agency or attorney via clinic Credit and Collection Policy. Uses collection management reports from electronic claims filing vendor to keep accounts receivable current.
- Answers inquiries and correspondence from patients and insurance companies. Assists with processes or problems associated with vendor(s) for electronic claims submission and accurately maintains electronic claims file maintenance.
- Performs all other tasks/responsibilities as necessary.
PI240710979
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Job openings at United Regional Health Care System
United Regional Health Care System
Wichita Falls, TX
Full Time
United Regional Health Care System
Wichita Falls, TX
Other
United Regional Health Care System
Wichita Falls, TX
Full Time
United Regional Health Care System
Wichita Falls, TX
Part Time
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