Billing Implant & Self Pay Clerk

Billing Specialist

Collect all vendor sheets for billing for implants from OR

Verify that all implants are correctly charged to the accounts

Verify all PO for implants match the accounts

Collect and send all implant invoices to proper insurance carrier for payment

Download the self-pay statement files into the appropriate self-pay template

Verify that the amounts billed to the patients are in accordance with the allowed amount stated on the EOB

Print and prepare for mailing all current patient statements

Perform necessary correction to errors received from daily electronic billing reports, paper claim submissions and third party confirmation reports. Where applicable, make necessary corrections in the billing system.

Expedite payment of outstanding accounts through regularly scheduled follow up activity.

Review system generated reports to identify accounts requiring research based on guidelines established by department. Determine appropriate action to be taken for resolution of accounts, securing prompt and accurate payment. Documents result in appropriate system(s) and Log. Alert Supervisor and/or Manager of non-payment trends.

Research rejected and/or denied services. Determine corrective action to be taken. Complete corrective action, utilizing departmental procedures, policies, and document results in appropriate system(s) and Log. Alert Supervisor and/or Manager of non-payment trends.

Complete productivity reports and forward to Supervisor per established time frame.

Support customer service and performance improvement goals of the department; collaborate with other staff, within and outside the Department, to develop means of enhancing patient care and service

Maintain standards of confidentiality

Complete productivity reports and forward to Supervisor per established time frame.

Be courteous and knowledgeable when responding to incoming or outgoing calls and provide clear and appropriate information as needed.

Resolve credit balances in accordance with department policies and procedures.

Maintains, process and log in AR records all requests for MR.

Performs other duties as assigned

Qualifications and Skills

Excellent customer service skills and problem solving skills.

Strong analytical and organizational skills.

Ability to interact with varying cultures and a diverse population.

Basic computer skills.

Bi-lingual in Spanish preferred.

Education, Experience and Certification/Licensure Requirements

H.S. Graduate

1-2 years' experience in a customer relations driven industry preferred

No certification requirements for this position.