Billing Coordinator

East Glen

Summary of Duties

Responsible for the billing, collecting, and working of accounts from all payor types, patient/residents to resolution. Completes all necessary insurance claim requirements. Follows up on unpaid claims. Handles all inquiries regarding accounts, providing satisfactory explanation of patient/resident charges and/or account status.

Essential Job Functions

Prepares billing for completeness as necessary to insurance companies. Reviews, edits, and makes necessary corrections to insurance claims before submission
Contacts patient/resident, employer, etc. to obtain necessary information to file insurance claims
Processes late charges and other account adjustments to bill correct claims
Reviews and works audit trails on all outstanding accounts
Handles follow-up of unpaid balances with insurance companies and patient/residents by use of statements, collection letters, re-bills, correspondence, or phone contact
Collects charges not covered by insurance or makes satisfactory payment arrangements
Reports bankruptcy and estate claims to collection attorney. Adjusts account
Handles follow-up for outstanding balance due on past due contractual payment agreements
Determines when account is uncollectible and reports to collection attorney
Records and documents all activity occurring on an account
Processes/posts remittances from Medicare, Blue Cross/Blue Shield, Medicaid, and other major third party payors. Processes remittance rejections in accordance with established guidelines
Processes/posts payments from patients
Balances and audits work as required
Investigates credit balance accounts, completes requests for processing
Trains and assists facility personnel in computer programs used in billing office procedures as appropriately assigned
Receives and resolves inquiry from patients, their representatives, insurance companies, and attorneys. Records, documents all discussions regarding an account
Performs general office duties to include answering telephones, maintaining supplies, and opening daily mail. Processes return mail
Provides organized personal support for record maintenance and office filing requirements
Performs research of Medicare bad debts, daily census, month end and other periodic reports as requested
Performs other job related tasks as assigned by office supervision and VP of Reimbursement

Education

High school diploma or equivalent required.

Experience

Minimum of one (1) year of related experience in a business office environment required.

Physical Requirements for Essential Job Functions

Must be able to work with hands and fingers throughout the workday
Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met
Must be able to walk, sit and stand intermittently throughout the workday

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Vacancy posted 4 days ago

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