Healthcare Billing Representative, Corporate Office (FT, Days) bei Allied Services

GENERAL SUMMARY:

Under the direction of the Business Office Manager, the Healthcare Billing Representative is responsible for gathering all necessary documentation to bill third-party payors; advise and inform all admissions of their responsibilities; and performs all billing, follow-up and collection activity for Commercial Insurance balances.

Assigned duties are implemented in a manner appropriate to the age-specific needs of the patients served.

Type of supervision exercised: none.  Jobs reporting to this position: none.

EDUCATION:

High school diploma or equivalency is required.

Healthcare Insurance knowledge preferred

Microsoft Excel Experience

WORK EXPERIENCE:

Minimum of two (2) years experience in billing and collections is required, preferably in a health care setting.

CHARACTERISTIC DUTIES & RESPONSIBILITIES OF JOB:

35%  Reviews and sends billings on. All Commercial Insurance Claims   Handles telephone inquiries or written correspondence regarding patient billing accounts.

20%   Works closely with Admissions, Social Services, and Utilization Review to insure appropriate payor confirmations and appropriate financial applications have been completed to obtain guaranteed funding. Responsible for all follow-up and collection activities on all payors, through telephone and written communications.

5%  Reviews all census information to update daily census with EMR.

5%  Works in conjunction with Admissions and Utilization Review departments with proper authorization levels.

4%  Assists with analyzing assigned account receivables, exercising judgement in determining further collection follow-up, recommendations for write-off, or accounts receivable adjustments. 

4%  Informs and advises resident/families of invoicing procedures and individual financial responsibilities. 

10%  Coordinates medical records requests for acquisition of medical necessity letters or medical documentation as necessary to support billing follow-up activities. 

2%  Coordinates information requests and resolves database software issues with support personnel, both within Allied and external software vendors. Advises the Business Office Manager of any problems or process delays associated with software.

10%  Assists Business Office Manager in cross-training of new personnel in billing and data entry procedures.

1%  Cross-trained on database software system for census entry, billing.

4%  Assists third-party and internal audits during audits. 

SPECIAL EMPLOYMENT REQUIREMENTS:

Must be cleared by PA State Police criminal history check.

Ability to perform detailed mathematical computations rapidly and accurately is required.

Must demonstrate aptitude with database system.

Working knowledge of WordPerfect and Lotus applications is required.

Must be able to type 40 WPM with accuracy.

Good written and verbal communication skill and interpersonal skills required for effective interaction with residents, departments, and outside representatives and agencies.