Philadelphia, PA
Mt. Pleasant, SC
California
Posted: 21-Jan-25
Location: Jacksonville, Texas
Internal Number: 237860
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
- Works with Patient Accounts Director and/or System Coordinator to maintain Meditech system for compliance with policy and procedures, and billing guidelines
- 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
- Assists Patient Accounts Director in hiring of new billing/collector associates
- 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:
- High School Diploma
Work Type:
Full Time
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