Expediting the cash flow; Billing patients and insurance companies in a timely manner; Posting incoming payments in a timely manner.
REQUIREMENTS: • Graduation from accredited high school • Demonstrates computer skills • Knowledge of medical practice and terminology • Business and accounting courses helpful • Participates in ongoing continuing education as related to position
TYPICAL PHYSICAL AND MENTAL DEMANDS: • Full range of body motion, including manual and finger dexterity and eye-hand coordination • Normal color perception and corrected visual acuity and hearing to normal range • Paper and computer oriented position
TYPICAL WORKING CONDITIONS: • Clean environment in medical practice setting
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
BILLING: 1. Enters the charges obtained from the encounter forms into the computer. 2. Enters all patient demographic and insurance information correctly entered into the computer. 3. Directs the computer to print insurance claim forms. 4. Attaches any necessary referrals and/or reports to claim forms. 5. Mails claims to the appropriate carrier. 6. Directs computer to print patient statements.
POSTING PAYMENTS: 1. Enters all payments and adjustments into computer and transfers balance due to either next insurance carrier or to patient.
SECONDARY INSURANCE CLAIM FILING: 1. Directs computer to print claim forms for secondary insurance. 2. Mails claims.
DAILY DUTIES: 1. Posting charges, payments and adjustments. 2. Generating claim forms. 3. Daily computer back up. 4. Necessary insurance problems follow up (phone calls or written requests for review). 5. Collection. 6. Return mail investigations. 7. Open and handle mail from collection agency. 8. Receives calls from patients regarding their account status.
MONTHLY DUTIES: Collection: 1. Sending of final notices to accounts over 90 days. 2. Gathering possible collection agency accounts for the doctors to review. 3. Sending doctor approved accounts to collection agency with appropriate information (patient demographics, insurance information, payment history, and necessary comments).
OTHER: 1. Insurance follow up: calling insurance carriers regarding problem claims, usually those over six weeks, that have not been paid. 2. Check inventory for billing department (paper, ribbons, statements, insurance claim forms, markers, highlighters, etc.) Inform Practice Administrator when inventory is low so that order can be placed.
ATTENDANCE AND RELIABILITY: 1. Does not abuse or take advantage of sick time. 2. Always provides proper notification and advance notice of absences. 3. Reports to work, is at the assigned station, and ready to work at their starting time. 4. Returns from lunch on time.
OTHER: 1. Maintains a well-groomed, appropriate appearance. 2. Maintains a clean, well-kept work area.