Billing Representative

Billing Representative

Job Description

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JOB DESCRIPTION

Job Title: Billing Representative Title of Supervisor: Billing & Collections Mgr.

Department: Financial Services Status: Non-exempt

Uniform: Required to wear appropriate business attire and name badge.

Pay Grade: 14

A.  General Functions

·  Post EOBs, denials, personal payments and adjustments in MDServe and JasRX.

·  Process pending Accounts Receivable accounts.

·  Reconcile all charges, payments, and adjustments to daily close.

·  Mail monthly patient statements and process returned statements.

·  File all claims to primary insurance and follow-up claims to secondary insurance.

·  Refund insurance companies’ and patient overpayments.

·  Submit delineate accounts to collection agency.

·  Process accounts identified as bankruptcy status.

·  Process monthly denials.

·  Establish patient payment plans.

·  Collect and enter new patient demographic, financial and insurance information in MDServe.

·  Process probate/deceased patient accounts.

·  File all workers’ compensation and liability claims.

·  Develop reports for yearly audit.

·  Other duties and projects as assigned.

B.  Education, Training, and Skills

·  Completion of high school plus two years of specialized training or related work experience.

·  Advanced computer and data entry skills.

·  Math acuity.

C.  Experience and Knowledge

·  Experience in posting EOB payments.

·  Should be knowledgeable in medical terminology, CPT and ICD-9 coding.

·  Insurance and prior collection experience preferred but not required.

·  Must have ability to handle confidential information on a need-to-know basis as defined by SCHC.

D.  Initiative and Judgment

·  Requires the ability to work without direct supervision. The work is in a field where only general methods or policies are defined.

·  Initiates and acknowledges the need to develop, revise, update and change all applicable policies and procedures to Billing & Collections Manager.

E.  Working Conditions and Environment

·  Required to communicate verbally with payors, patients, physicians, and SCHC staff.

·  Successful performance of the essential functions of the position requires the following physical abilities:

o  Required to be able to type proficiently, write legibly and to read printed or handwritten materials.

o  Ability to communicate and respond effectively.

o  Occasionally may need to crouch, kneel, stoop or bend.

o  May need to lift or assist with lifting and moving >20 pounds.

o  Requires visual acuity to perform required tasks.

The above statements are intended to describe the general nature and level of work being performed by the person assigned to this position. They are not intended to be an exhaustive list of responsibilities, duties and skills required of personnel so classified.

I have read and understand the duties and responsibilities for which I am responsible. The duties, responsibilities and minimum requirements have been reviewed with me and I have received a copy.

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