Whittier, California
Minneapolis, Minnesota
Great Falls, Montana
New York, New York
Posted: 27-Nov-24
Location: Texarkana, Texas
Categories:
Internal Number: 231827
Summary:
Performs all functions necessary to accomplish accurate billing and follow-up/collections of patient hospital accounts. Works as a back-up biller and/or collector when needed. Responsible for training all new billers/collectors. Works proficient with other departments resolving issues. Ensures systems and procedures are in place to maximize reimbursement from patients and all third-party payers. Prepares statistical and analytical reports for management review.
Responsibilities:
- Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability
- Ensures all accounts are processed for billing and follow-up activity
- Supervises the day-to-day work effort for billing and follow-up functions ensuring that established productivity and quality goals are achieved
- Maintains knowledge of all billing systems, and assist as necessary to troubleshoot issues with clearinghouse and payers
- Ensures the 72 hour and combined billing reports for insurance payers are worked daily
- Keeps abreast of all regulatory changes and communicates these to management, billing, and follow-up staff in a timely and effective manner
- Must have monthly meetings (or more as needed) with associates to review changes and/or new guidelines
- Monitors billing, follow-up/collections, and payment validation workflow, directs work task as necessary to manage fluctuation volumes
- Ensures managed care payments are paid according to managed care contracts and appeals are done for any underpayments
- Ensures overpayments are refunded to payer accordingly
- Provides feedback to Director regarding staff performance productivity and teamwork capabilities
- Analyzes, trends, reports and makes recommendations on billing issues, claim rejections and issues affecting timely follow-up and collections of accounts
Requirements:
Education/Skills
- High school diploma or equivalent
Experience
- 0 ? 2 years of supervisory/management experience preferred.
- 4 years of experience in similar or related role preferred.
Licenses, Registrations, or Certifications
- None required
Work Type:
Full Time
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