Summary:

The Billing/Collection Representative is responsible for the timely and accurate billing, follow-up, and collection of patient accounts in order to reduce accounts receivable and increase cash flow utilizing automated software and on-line functionalities.

Responsibilities:

1. Performs billing duties including obtaining required data and submitting clean claims, satisfying pre-edit errors, correcting charges, and researching billing delays for all responsible parties and third party payors.
2. Performs follow-up duties including working systematic and other assigned accounts, updating spreadsheets and work-lists, making written and telephone inquiries, resubmitting rejected or denied claims, resolving credit balance accounts, and verifying correct payments/adjustments from all third party payors via telephone, electronic transactions, website interactions.
3. Will access and maneuver across numerous payer websites and other electronic systems/processes.
4. Interacts with internal departments as well as external payers and third party vendors via written and verbal communication and electronic interchanges.
5. Assumes the submission of a clean claim and securing complete and accurate payment in the shortest timeline possible.
6. Other duties as required.

Other information:
Technical Expertise
1. Experience in hospital or physician billing, follow-up, customer service or credit/collection is required.

2. Experience with UB-04/HCFA 1500 billing and knowledgeable of governmental, managed care and commercial payor regulations is required.

3. Type 35 WPM is required.

4. Strong communication, mathematical aptitude, critical thinking skills and analytical skills are required.

5. Ability to communicate verbally and prepare written communications for patients, patient's families, physicians, third party payors, collection agencies, attorneys and other hospital staff is required.
6. Experience working with all levels within an organization is required.

7. Experience in healthcare is preferred.

8. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.


Education and Experience
1. Education: High school diploma or equivalent is required.

2. Certification: None.
3. Years of relevant experience: 2 years in hospital billing and follow-up experience including customer service and credit/collections is required.

4. Years of experience supervising: None.

Full Time

FTE: 1.000000

Status: Remote