SUMMARY:
The Billings/Collections Representative is primarily responsible for claims submission and all account follow-up necessary to receive the expected reimbursement from all payer sources, through routine review of outstanding accounts.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Includes, but is not limited to the following:
§ Manual and electronic claims submissions to all payer sources
§ Claims corrections and resubmissions
§ Weekly review and correction of suspended claims
§ Account adjustments/contractuals upon claim submission
§ Review and documentation of all correspondence and actions
§ Insurance appeals to resolve outstanding payment/collection issues
§ Timely follow-up of outstanding accounts
§ Regular review of aged trial balance
§ Completion of daily production report
§ Other duties as assigned
ENTRY QUALIFICATIONS:
§ High School Degree required, One (1) to two (2) years of college is preferred
§ Minimum six (6) months experience in a hospital business office or one (1) year experience in collections
§ Knowledge of third-party payers, collections laws, F.T.C. rulings, and collection procedures
§ Knowledge of third-party payer billing requirements
§ Knowledge of claims submission process for all major carriers and intermediaries
§ Proficient in the use of personal computer
