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Job Description

Position Date:   5/20/2014

Day Shift:  Yes

Position Code:   50080022

Night Shift:   No

Rotating Shift:  No

Evenings:   Yes


Completes the daily billing functions, both paper and electronic claims and for the timely follow up of same. Handles patient questions to completion. Performs other duties as assigned.

Handles telephone communication with patients, insurance companies and other hospital personnel. Bills, collects and submits all insurance and TPA claims on a daily basis according to payer guidelines. 

Submits accurate claims according to payer guidelines, Reviews all 72 hours reports, Works all insurance denials via paper and/or electronic in work queues, maintains electronic reject reports and all 276/277


Processes all workload in Receivables Work Station, Processes work flow in HBF queues, Processes all claims failing in STAR - Patient Financial Representative work queues.

Monitors all electronic and/or paper claim status. i.e. Medicare 201 report, caremedic status report, claims administrator status reports, etc.

Reviews claims administrator payer rejects and exclusion report, Monitors 201 report in FSS, Maintains caremedic status reports as per office policy, Posts all bank deposited money and/or ERA completed daily, including any zero payments or denials received.

Processes all money received and posts into the PA systems daily, Balances all money posted to the bank deposits daily, Balances all Electronic Remittances Advises (ERA) and Electronic Funds Transfers (EFT) daily.

Maintains credit balance reports to ensure prompt and accurate refunds and/or adjustments to accounts

Description Minimum Required Preferred / Desired Experience

Any business related clerical job skills. One year customer service, collection service, collections and third party collections. Indication of good customer skills is a plus.

Job Requirements

Skill in communicating clearly and effectively using standard English in written, oral and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties. Ability to read, write, and perform mathematical calculations, use proper composition, grammar, oral communication and spelling as normally acquired by official completion of high school or its equivalent.

Knowledge of general office techniques as normally acquired through two years of experience in credit and collections. Training Customer relations skill sets. PC skill workshops, medical terminology course, customer relations skill sets.

Special Skills

Ability to type and/or key accurately, problem solving, written and oral communication skills, financial counseling skills. Knowledge of insurance billing and collections. Knowledge of insurance guidelines. Effective verbal and written communication skills. Effective customer service skills.

Options :

Job Snapshot

Other Pay Competitive Compensation
Employment Type Full-Time
Job Type Health Care
Education High School
Experience Not Specified
Manages Others Not Specified
Industry Healthcare - Health Services
Required Travel Not Specified
Job ID 38589
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