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 the patient demographic information in the IHP Clinic practice management system at the time of charge entry to ensure accuracy and to provide feedback to the other front office staff regarding patient registration. Responsible for reviewing the physician’s coding at the time of charge entry to ensure accuracy, timely payments, and to maximize revenue. Responsible for submitting insurance claims both electronically and on paper weekly basis. Responsible for providing cross coverage as required to ensure efficient and professional practice operations and maximum patient satisfaction.
DUTIES AND RESPONSIBILITIES:
CASHIER
- Service patients and acknowledge them in a prompt, courteous and professional manner.
- Responsible for pre-collecting and post collect of payment from patients.
- Obtains, extends, computes, and verifies various changes pertaining to services rendered, health plan dues, etc; receives cash, check, or credit card for payment; verifies information is accurate on all accounts.
- Daily patient AR calls.
BILLING SPECIALIST
- Reconcile all fee slips received with appointment schedule. Account for all appointments
- Review and input all charges related to the assigned physician’s professional services into the practice management system including office and hospital charges in accordance with practice protocol with an emphasis on accuracy to ensure timely reimbursement and maximum patient satisfaction.
- Review the physician’s coding at charge entry to ensure compliance with Medicare guidelines and to ensure accurate and timely reimbursement.
- Scan all charge, payment and adjustment batches in the appropriate format and file on shared drive by batch date for quick reference.
- Provide customer service both on the telephone and in the office for all patients and authorized representatives regarding patient accounts in accordance with practice protocol. Patient calls regarding accounts receivable should be returned within 2 business days to ensure maximum patient satisfaction.
- Verify all demographic and insurance information in patient registration of the practice management system at the time of charge entry to ensure accuracy, provide feedback to other front office staff members and to ensure timely reimbursement.
- Follow-up on all outstanding insurance claims at within 45-60-days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability.
- Follow-up on all outstanding patient account balances at 90-days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability using the A/R aged reports.
- Provide information pertaining to billing, coding, managed care networks, insurance carriers and reimbursement to physicians, managers and subordinates.
- Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
- Submit primary and secondary insurance claims electronically and on HCFA at weekly to ensure timely reimbursements.
- Recommend accounts for outside collection when internal collection efforts fail in accordance with practice protocol.
- Process refunds to insurance companies and patients in accordance with practice protocol.
- Monitor reimbursement from managed care networks and insurance carriers to ensure reimbursement consistent with contract rates.
- Monitor the supply and quality of forms, envelopes and supplies as required to perform job functions.
- Proficiency with all facets of the medical practice management system including patient registration, charge entry, insurance processing, advanced collections, reports and ledger inquiry.
- Provide cross coverage as required to ensure efficient and professional practice operation including lunch and break coverage.
- Knowledge of and proficiency with web-based programs for eligibility verification and claim status, to efficiently conduct accounts receivable follow-up and to maximize revenue.
- Maintain information regarding coding, insurance carriers, managed care networks and credentialing in an organized easy to reference format.
- Inform providers of their incomplete notes and provide deadline completion based on contract 72 hours requirement.
- Maintain an organized, efficient, and professional work environment.
- Adhere to all practice policies related to OSHA, HIPAA and Medicare Compliance.
- Other duties as assigned.
High school diploma or GED required. A college degree preferred.
SKILLS, KNOWLEDGE, AND ABILITIES:
- Excellent verbal, written and interpersonal communication skills.
- Proficient with Windows, MS Office, Outlook and Internet Explorer.
- Excellent organizational skills and attention to detail.
- Demonstrates an independent work initiative, sound judgment and strong work ethic.
- Works cooperatively in a team atmosphere.
- Ability to handle multiple tasks simultaneously.
Job Type: Full-time
Pay: $12.00 - $14.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
- Weekends as needed
Work setting:
Experience:
- ICD-10: 1 year (Preferred)
Work Location: In person