Billing Representative-Lab FT, Day

Inspire health. Serve with compassion. Be the difference.

Job Summary

This job has responsibility for timely filing, follow up, collections, credit balances, posting, and / or customer service of patient accounts for respective areas of control.

Essential Functions

All team members are expected to be knowledgeable and compliant with Prisma Health's values : Inspire health. Serve with compassion. Be the difference.

Prepares and files appropriate claims and patient statements. Edits and corrects failed claims. Monitors claims for appropriate billing. Communicates problems.

Receives and answers patient telephone and written inquiries regarding charges and / or billing discrepancies. Greets and assists customers. Explains account payment and settlement processes. Documents all customer telephone calls and billing information

Contacts insurance carriers and / or patients as necessary. Identifies problem accounts, research and work to resolution. Provides duplicate billings, coordination of benefits and medical records to expedite payment of insurance claims. Research accounts daily for credit balances and process refunds. Respond to correspondence. Document all billing notes and patient telephone calls. Work and prepare reports necessary to maintain acceptable levels of accounts receivables.

Work CRS and A / R reports; Research accounts and clean up claims. Obtains third-party payments and document payments and denials carefully.

Provides follow up on issues

Performs other duties as assigned.

Supervisory / Management Responsibility

This is a non-management job that will report to a supervisor, manager, director, or executive.

Minimum Requirements

Education - High school diploma, GED or equivalent preferred

Experience - Six (6) months experience in healthcare environment. Billing experience preferred

In Lieu Of

NA

Required Certifications, Registrations, Licenses

NA

Knowledge, Skills and Abilities

Proficient in Microsoft Office.

Knowledge of ICD9, CPT and HCPCS coding.

Able to think analytically and communicate well with others.

Excellent customer services skills

Knowledge of institutional & departmental policies, third party payer regulations and regulatory billing requirements and processes.

Work Shift

Day (United States of America)

Location

Richland

Facility

7001 Corporate

Department

70019241 Corporate Ancillary Services

Share your talent with us! Our vision is simple : to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.