Billing Coordinator - A/R & Collections

Description

Key Responsibilities

• Work with medical staff to resolve coding issues and associated problems. Research and correct any fee sheet problems or errors. Clarify with the front office on any incorrect or missing insurance information.
• Maintain billing records, reports and files as required. Pull explanations of benefits (EOBs) and fee sheets. Make copies or fax as requested.
• Answer questions regarding insurance and patient accounts. Respond to patient or insurance correspondence.
• Submit overdue patient accounts to collection agencies when approved by attending physician; adjust patient accounts when submitted to collection agency. Handle accounts in which patients have declared bankruptcy. Set up payment plans where appropriate.
• Adhere to all internal compliance policies as well as federal, state, and local regulations as they apply to the employee's particular duties.
• Follow up on patient accounts receivable. Place calls to insurance companies or patients verifying the status of account. Research past due patient accounts. Resolve returned patient statements and process returned patient checks. Review patient accounts receivables with physicians.
• Follow up and resolve outstanding accounts with no payments, partial payments, or denials in a timely manner for all insurance carriers. Track patterns of denials and rejections. Institute corrective action for the future. Resolve and resubmit rejected and unpaid insurance claims. Resolve returned mail.

What we seek from you

• Possess qualities supporting the company values of people matter, compassionate leadership, mamba mentality, WOW servic
• Detail oriented and able to handle multiple tasks.
• Knowledge of HMO, PPO, Managed Care and Indemnity plans
• Knowledge of principles and processes for providing good customer service
• Minimum of 1 year insurance collections/AR receivables or related experience
• Knowledge of current ICD codes and CPT codes
• Knowledge of healthcare receivables and collections, including denial and appeal processes, preferred.
• Ability or experience working in a fast-paced environment
• Demonstrated ability to maintain composure when confronted by difficult situations and to respond professionally.
• Able to communicate with insurance representatives and patients in a professional manner.
• High School diploma or equivalent, required.

Benefits

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