Job Description
Job Description
Benefits :Minimum Qualifications :
- Requires a minimum of two to three years of experience in billing or collections in a physician clinic or hospital environment.
- High school diploma / GED or equivalent working knowledge preferred.
- Knowledge of medical billing and collection policies and procedures, ICD, and CPT coding.
- Advanced computer knowledge, including Windows-based programs.
Essential Functions
- Provides excellent customer service in alignment with our World Class Service expectations by promptly answering patient inquiries, going above and beyond with follow-through actions, and always maintaining a positive demeanor while interacting with customers, both internal and external.
- Assists patients and family members with billing and account questions including following up with insurance companies and internal departments as needed.
- Works to resolve complaints at first contact wherever possible. Ensures all encounters are handled in a courteous, professional, and confidential manner.
- Proactively works outstanding patient balances by contacting patients to arrange payment on outstanding accounts. Ensures patient balances are resolved promptly.
- Analyzes account for proper claims processing and payment posting through inquiries from patients or staff.
- Adheres to Business Office Patient Account Representative Occupancy rate standards for incoming patient phone calls.
- Provides patients with estimated fee quotes and can explain insurance terms and regulations to assist patients in understanding their insurance benefits.
- Verifies the accuracy and timeliness of patient demographics and billing activities and identifies problems and trends.
- Communicates with insurance and collection agencies. Completes daily requests and working through obstacles on account balance to ensure maximum reimbursement.
- Establishes and maintains effective communication with clinics, co-workers, and other departments as required.
- Works to ensure that all assigned reports are worked accurately and promptly.
- Maintains account receivables, identifying potential problems through registration, charge corrections, duplicate accounts, and refunds.
- Provides feedback to management on issues that prevent timely reimbursement from payers due to contract, provider, and insurance company or system limitations.
About us :
The Center for Orthopedic Research and Education, We don't mean to brag but did you know The CORE Institute has been ranked by Ranking Arizona : The Best of Arizona Businesses!?
- 1 for Orthopedic Practices
- 1 for Healthiest Healthcare Employers
- 3 for Best Healthcare Workplace Culture
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