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Careers
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Department:
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Business Office
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Job Title:
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Account Representative/Biller - Full time
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Job Description:
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The Account Representative (Biller) is responsible for primary and secondary billing, follow-up, collecting from insurance companies and resolving billing problems.
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Job Prerequisites:
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SKILLS AND ABILITIES REQUIRED:
Must have knowledge of Medical and Insurance technology.
Must possess computer skills and knowledge of other office equipment required for this position.
EDUCATION AND EXPERIENCE REQUIRED:
High School Graduate or equivalent.
Must have knowledge of ICD-9 Coding, hospital billing, Medicare, Medicaid, Worker’s Compensation and PPO and HMO contracts.
Must have one year of hospital experience.
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Job Responsibilities:
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Processes primary billing according to office guidelines within alphabetic assignment and is responsible for correspondence of information. Ideally bills out all bills each week that were received in the same area.
Processes secondary billing according to business office guidelines.
Turns in a weekly billing report to the Office Manager by Friday at the end of the day.
Processes all general correspondence within five (5) working days, Medicare mail-backs within 15 days, and Medicaid mail-backs within 15 days of receipt (if extensive research is not required, and pays particular attention to Medicaid timeliness guidelines when appropriate.
Consistently completes and accurately documents all follow-up activities on account files previous to accounts being paid or transferred to the internal collector, or a collection agency.
Completes Aged Accounts Receivable reports by the due date, as given out by the Office Manager.
Researches and processes refund/credit requirements weekly, and submits to Office Manager by Wednesday at the end of the day.
Deals with patients over the phone or in person to resolve billing inquiries and problems, and is always courteous and helpful.
Sends out letters and makes phone calls to patients according to the hospital collection policy.
Keeps abreast of current laws, regulations, procedures, contracting methods and techniques in relation to hospital billing procedures.
Processes all debit/credit adjustments upon receipt and may make payment arrangements according to office policies.
Processes cash journal sheets, deposits, and related contractual adjustments as may be required.
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Job Pay:
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DOE
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Posted on:
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August 13, 2010
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Revised on:
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May 17, 2010
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