Responsible for following through on all assigned previously billed Inpatient, Ambulatory Surgery, Emergency Room and/or outpatient accounts until all outstanding insurance estimates are satisfied. Reports to the Director of Patient Accounts.

0. KEY TASKS
   1. Assist patients, with all inquiries concerning their patient account.
1. 2. Follow up all activity required on the patient account as a result of the patient inquiry within 24 hours.
2. 3. Document all patient account activity written and oral in computer system.
   4. Opens mail and prepares runs tape with all checks, cash or money orders received. Open and completes “Deposit Workbook” and enters all information. This total should match the total of tape.
   5. Scans all remaittances and save to correct folders.
   6. ​​​​​​​Post all Patient and Insurance payments into Meditech system.
   7. ​​​​​​​Reviews all patient bills for completeness and reasonableness of charges and ensures all billing codes are present.
   8. ​​​​​​​Relieves other areas (cashier, switchboard, registration, other patient representatives), as directed by the Director of Patient Accounts.
   9. ​​​​​​​Follows up on all mail correspondence (including remittance advices) concerning the assigned patient accounts within 24 hours. This includes all errors in billing which require a resubmittal of the bill.
   10. ​​​​​​​Bills all secondary insurance within 48 hours of receipt after the primary insurance has paid
   11. ​​​​​​​Maintains current knowledge of all third party payor requirements or regulations by reading and understanding material provided by the payors and/or the Director and by attending seminars as directed by the Director of Patient Accounts.
   12. ​​​​​​​Changes financial class to ensure that all accounts are properly reflected on the accounts receivables.
   13. Follow up daily on all assigned accounts in queue.
   14. ​​​​​​​Runs credit balances report weekly and completes refund request.
   15. ​​​​​​​Portrays professionalism and a positive attitude towards patients and fellow co-workers
   16. ​​​​​​​Actively participates in staff meetings and problem solving.
   17. ​​​​​​​Performs other duties required by supervisor and/or Director of Patient Accounts and/or Controller.
   18. ​​​​​​​Maintains percent of error rate at or below 10%.

JOB SPECIFICATIONS:

1. Type 6000 keystrokes/hour and operate CRT and other office equipment.

2. Must have experience and knowledge of UB04 and Professional Billing, as well as ICD and CPT-4 coding.

3. Must be able to communicate effectively with public and others and maintain confidentiality.