Description

Description

Job Summary

Performs billing, patient accounting, financial counseling, customer services, payment posting and collection functions related to physician services claims in order to ensure appropriate and optimal reimbursement and a consistent cash flow. Performs both front end and back-end duties; registrations, filing, charge entry, collections and willingly travels to any practice of the Central Billing Office whenever necessary to provide needed coverage.

Job Specific Duties

• Acts as liaison on matters related to billing. Screens correspondence and calls for billing questions.
• Provides solutions to patients/families and frequently assists the billing company to ensure correct charge posting and collection follow-up.
• Obtains payer authorization to undertake interventional procedures, MRI, and ICD monitoring as needed.
• Responsible for the physicians' billing process on a daily basis to ensure timely and accurate billing.
• Gathers billing document, follows up with Leader when no charges are received, and reviews billing documents for CPT and ICD-9 codes.
• Matches billing with patient demographics, prints batches, totals each batch, makes copies, and sends to billing entity.
• Prepares quotes for the international department for patients coming from abroad.
• Provides administrative support such as faxing, filing, copying, and performing ad hoc projects as needed. Continually offers assistance and keeps Leader informed.
• Remains current with changes to patient's insurance cards, plans, and payer's requirements to maximize/expedite reimbursement process.
• Performs financial counseling, collection and related payment functions of patient accounts to ensure appropriate and timely reimbursement.
• Proofs encounters for accuracy, to include coverage, CPT, ICD-9 and signatures.
• Maintains patient accounts, discount or other adjustments to support accurate net-accounts receivable and customer satisfaction in accordance with department standards.
• Participates in various administrative functions including processing of travel pre-approval, travel reimbursement, expense reimbursement, etc.
• Verifies and submits orders for purchasing requests, IT requests, etc.
• Coordinates materials and schedules to meet production deadlines and budget goals.

Qualifications

Minimum Job Requirements

• 1 year of related experience

Knowledge, Skills, and Abilities

• High school graduation or equivalent
• Able to communicate effectively in English both verbally and in writing
• Fluency in Spanish preferred
• Able to relate cooperatively and constructively with patients, families, peers, physicians, and other hospital staff
• Basic knowledge of computers and ability to learn software application(s)
• Able to explain the complexities of billing of various insurance plans to patients and physicians
• Able to maintain confidentiality of sensitive information
• Able to set a professional tone in the office through a high standard of efficiency and customer focus
• Able to set priorities and make adjustments when faced with unforeseen issues or crisis situations

Job:

Billing/Collections

Department:

NCPS B NEUROLOGY-3200-402750

Job Status:

Professional