Account Representative

Billing Specialist

Complete billing process of all individual patient accounts for all clients contracting services with Professional Billing Services. Payments, actual insurance claim submission, account follow-up for payment, collection of self-pay receivables, and referrals to bad debt.

Position Type: Full-Time

Hours: 08:00AM - 04:30PM

Weekends: N/A

Qualifications

Education:

• High school graduate or its equivalency is required.

Experience:

• Minimum of one (1) year experience in billing and collections routines, insurance claims processing, and data entry preferred.
• One (1) year experience working with physicians and/or patients on an ongoing basis or its equivalency is preferred.
• Minimum of one (1) years of experience or its equivalency with personal computers.
• Minimum of one (1) year of telephone collection experience as a medical debt collector is preferred.

Other Knowledge/Skills/Abilities:

• Strong communication skills are required
• Understanding of CPT, ICD-9 or ICD-10 coding, and medical terminology preferred.
• Understanding of insurance forms UB04, HCFA 1500 and Medicaid forms.
• Understand and interpret Explanation of Benefits (EOB's).
• Required to use 10-key numeric pad.
• Capable of typing 30-40 wpm preferred.
• Limited physical requirements, primarily sedentary. Will occasionally have to lift small boxes weighing up to 50 lbs.

Responsibilities

• Insures the accuracy and validity of the demographic and insurance information.
• Post insurance and/or personal payments as well as adjustments as directed and indicated on EOB's, balancing input amounts against the control totals for the individual accounts upon completion of entry.
• Processes and complete daily deposits prior to 2:00 pm daily.
• Review and process all health insurance claims received daily.
• Provide insurance forms to patients when requested.
• Researches unpaid Insurance claims and follow-up for reasons of non-payment.
• Establish payment arrangements in line with the guidelines established.
• Respond to patient inquires made by telephone or in writing.
• Review credit balances on accounts and take appropriate action including initiating refunds, correcting adjustments or transferring balance to correct account.
• Research and correct edits or errors in claim scrubber system.
• Respond to Client inquiries concerning accounts via telephone or e-mail.
• Demonstrate a professional behavior and provide excellent customer service at all times.
• Performs other duties as assigned.