ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
• Answers questions, processes information obtained from patients and processes customer complaints by giving information to the appropriate person(s). Takes appropriate action to resolve accounts.
• Edits and releases accounts for billing.
• Sends appropriate letters to patients as needed.
• Inputs any obtained information and notes relating to the account into computer system as needed.
• Calls insurance company or third party to obtain billing information and/or to check claim status or eligibility.
• Processes medical records requests and forwards to appropriate persons or units within the department.
• Faxes or mails information to appropriate billing services as required.
• Assists all other units within Patient Business Services Department (i.e., processing queues, providing data entry, etc.).
• Assists bi-lingual patients, if capable, by translating documents and conversations.
Contacts patients to obtain information such as:
Medicare, Medi-Cal, and/or industrial, group or private insurance information.
Correct address, date of birth, Social Security Number, etc.
Establish payment arrangements.
Resolve past due or delinquent accounts (collections).
• Receive all incoming correspondence, return mail and "no mails" and sorts it appropriately.
• Process correspondence, return mail and "no mail" according to specific paysource procedures.
• Utilize all tools available to identify the error in the address including the internet, billing system, imaging and patient and facility contact.
• Manipulate the system to route trips to designated queue or unit and resends corrected mail.
• Document all necessary details in trip comments, including imaging tracking number.
• Prepare correspondence batches for imaging.
• Audit correspondence, return mail and "no mails" and provides feedback for internal and external training needs.
• Must be able to pass Quality Assurance audit with an accuracy rate of 95% or better.
• Perform other duties as assigned.