Description
Reports To: Billing Manager
Employee Status: Non-Exempt (Regarding Overtime)
Position Summary: Under general supervision, but in line with established PC&HC policies and procedures, provide a variety of service functions.
Essential Functions
- Represent PC&HC to the patients/customers in a courteous and professional manner. Provide prompt, efficient and accurate service.
- Perform insurance/billing clerical duties, including review and verification of patient account information against insurance program specifications.
- Resolve routine patient billing inquiries and problems.
- Follow up on balances due from insurance companies and patients.
- Enter data electronically to process charges, payments, denials and adjustments with practice requirements.
- Send monthly statements to patients with outstanding balances.
- Establish patient payment plans.
- Assist providers with proper coding
- Assist with insurance verification as necessary
- Assist PSR and call center with billing questions
- Work with Office Manager on front office billing issues
- Reconciliation of monthly lab and X-ray invoices
- Reconcile online payment portals with EMR daily.
- Improve the patient experience and health care processes and help assure the provision of high-quality health care, as well as an ongoing process of performance improvement.
- Plan and organize work load to maintain efficient patient operations in the Health Center.
- Maintain a strong customer focus while working collaboratively within the teams multiple demands and patient needs.
- Treat all patient information confidentially and in accordance with established guidelines.
Marginal Functions
- Prepare and upload claims for insurance companies.
- Transfer and manage all collection accounts.
- Submit monthly bad debt list to finance director.
- Balance daily payment reports and prepare daily bank deposits.
- Assist patients with patient fee waivers
- Appeal denied claims and routinely follow up on unpaid claims
- Process patient and insurance refunds
- Monthly reports and month end close process
- Perform all other duties as required or assigned.