Entry Level Qualifications
High School diploma or GED equivalent and one (1) year experience in billing / collections in a health care setting. Must be able to type accurately at 50 wpm.
Must be able to work with minimal supervision and have good organizational skills and be able to communicate
effectively.
- Must be able to see at 20 / 40 corrected in each eye and hear (hearing aid acceptable.)
- Must be able to continuously sit for approximately 7 hrs. per 8hr. shift.
- If recovering, two years of continuous verifiable abstinence.
General Responsibilities :
Billing and collection of all claims
Essential Functions :
1. Daily billing of patient accounts to insurance companies after reviewing the bills for completeness and accuracy. Bills to be mailed or filed electronically within 1 day of creation.
2. Follow-up with insurance companies on payment of outstanding accounts within 14 days of mailing claims and at least every 14 days thereafter.
3. Follow-up with private individuals on payment of outstanding accounts within 30 days of mailing statements and at least every 30 days thereafter.
4. Maintain collection notes in the computer system documenting all billing and collections activity according to policies.
5. Make recommendations to Business Office Managers for accounts to go to outside collections when necessary.
6. Communicate with all outside contacts with a professional and courteous attitude. Provide customer service assistance to all individuals and / or insurance contacts.
7. Refer any problems that cannot be easily resolved or that may be problematic for the company to supervisor.
8. Communicate regularly with Business Office Managers regarding account activity.
Know and abide by the general provisions of 42 CFR Part 2, Confidentiality of Alcohol and Drug Abuse Patient Records ; and 45 CFR Health Insurance Portability and Accountability Act .
This position has unrestricted access to patient health information.
9. Receive credit applications from service locations, request credit reports, review credit information obtained, communicate credit decisions to service locations and credit applicants.
10. Ability to work in a cooperative manner with co-workers, managers, clients and prospective clients.
11. Maintain confidentiality of all credit information and patient accounts.
12. Ability to work in a constant state of alertness as to perform the job in a safe manner.
13. Regular attendance.
14. Other duties as assigned.