JOB TITLE: Biller / Collector
II. POSITION SUMMARY:
Performs all functions related to the timely follow-up and collection of third party patient accounts, in accordance with State and Federal rules and regulations and home care policy and procedures.
III. KEY JOB DUTIES/RESPONSIBILITIES:
A. Reviews reports from insurance companies/government payors for possibility of resubmission. Resubmits, bills patients, or writes-off as appropriate. Files appeals on rejected services within filing deadline. Weight: 15%
B. Follows-up on unpaid third party accounts by telephone and/or tracer within time frames and guidelines set forth in home care policies and procedures. Prepares rebilling as necessary. Weight: 15%
C. Reviews correspondence received from third party carriers, etc., and responds before insurance company deadlines. Makes request for Medical Records when necessary. Weight: 15%
D. Reviews payments on accounts for accuracy. Contacts insurance carriers if payment is less than quoted benefits to resolve balance responsibility. Calculates or recalculates contractual allowances and corrects as necessary. Corrects Managed Care discounts, employee discounts, etc., as necessary after recalculating discount. Weight: 15%
E. Documents all insurance activity in patient accounting computer system. Weight: 7%
F. Performs other duties as assigned.