Billing Representative

Job Description

Job Description

Job Summary/Objective : The primary focus of the billing representative is to collect, post and manage account payments. The duties include but are not limited to consistently following unpaid claims utilizing monthly aging reports and filing appeals when appropriate to obtain maximum reimbursement. Additional duties include but are not limited to data entry of all patient demographic, guarantor and insurance information, posting procedures and insurance/patient payments, balance to daily deposits..

Essential Functions:

• Daily charges
• Patient account research and resolution.
• Insurance verification and benefits determination.
• Make outbound calls to responsible parties to finalize payment to accounts.
• Establish payment arrangements.
• Ensure all claims are submitted with a goal of zero errors.
• Verifies completeness and accuracy of all claims prior to submission.
• Timely follow up on insurance claim denials, exceptions or exclusions.
• Meet deadlines.
• Respond to inquiries from insurance companies, patients and providers.
• Regularly meet with Account Manager to discuss and resolve reimbursement issues or billing obstacles.
• Regularly attend monthly staff meetings and continuing educational sessions as requested.
• Perform additional duties as requested by Supervisory or Management team.

Please note this job description is not designed to cover or contain a comprehensive list of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

PHYSICAL DEMANDS

• Sitting / Mobility: Approximately 70% of time is spent at a desk; the remaining 30% involves movement throughout the office.
• Lifting / Carrying: Occasionally required to lift and/or move items up to 25 pounds.
• Stooping / Kneeling: May be required when accessing files or supplies stored in low cabinets or shelves.
• Reaching / Handling: Frequent use of hands and arms for typing, filing, and handling office materials and supplies.

VISUAL, HEARING, AND MENTAL DEMANDS

• Must have sufficient visual acuity to read computer screens, printed documents and written correspondence.
• Must be able to hear and understand verbal communication in person and over the phone.
• Must be able to clearly articulate thoughts, instructions, and information verbally and in writing.
• Must be capable of handling multiple priorities, managing time-sensitive projects, and coping with the mental and emotional stress of a busy administrative role.

Travel Requirements: Minimum travel <10% to other office locations as needed.

Qualifications:

• High school diploma or equivalent required; associate or bachelor's degree in Business Administration preferred.
• Minimum of one (1) year of experience as a billing representative.
• Experience in a healthcare setting preferred but not required.

PIB is an Equal Opportunity Employer and is committed to a policy of equal treatment and opportunity in every aspect of its recruitment and hiring process without regard to age, alienage, caregiver status, childbirth, citizenship status, color, creed, disability, domestic violence victim status, ethnicity, familial status, gender and/or gender identity or expression, marital status, military status, national origin, parental status, partnership status, predisposing genetic characteristics, pregnancy, race, religion, sex, sexual orientation, unemployment status, veteran status, or any other legally protected basis. Women, racial and ethnic minorities, persons of minority sexual orientation or gender identity, individuals with disabilities, and veterans are encouraged to apply for vacant positions at all levels.