POSITION INFORMATION: Under general supervision, may participate in any or all aspects of the patient processing and accounts receivable functions of the organization including billing, charge entry, collection, registration, follow-up, coding, payment posting and credit balance resolution. May balance monthly transactions and provide summaries to faculty and department administration.
 
REPRESENTATIVE DUTIES:

1. 
   Patient registration
   
   
   
   1. 
      Review patient admitting records and extracts relevant information
      
      
   
   
   2. 
      Records patient identification and demographic information in the computerized billing system
      
      
   
   
   3. 
      Contacts agency representatives to verify type and extent of coverage.
      
      
   
   
   
   


2. 
   Charge entry
   
   
   
   1. 
      Performs preliminary review of source documents to determine that sufficient data are present for processing
      
      
   
   
   2. 
      Using alphanumeric keyboard, transcribes and/or verifies data from source documents to the medium used for entering data into the computer
      
      
   
   
   3. 
      Enter charges
      
      
   
   
   
   


3. 
   Billing
   
   
   
   1. 
      Works with all areas of the organization in getting any necessary or requested documentation for patients, insurance carriers or other areas.
      
      
   
   
   2. 
      May interact with hospital patient accounting or records personnel to obtain patient demographic or other billing information
      
      
   
   
   3. 
      Assists in resolving clinical problems with aXium or Eagle Soft billing software
      
      
   
   
   4. 
      Maintains records of charges, payments, third party charges, etc.
      
      
   
   
   5. 
      Submits claims to insurance company electronically
      
      
   
   
   6. 
      Verifies claims for any edits before submitting to insurance company
      
      
   
   
   7. 
      Corrects claims before they are generated to insurance company
      
      
   
   
   8. 
      Utilize system software to electronically attach required documents for clean claim submission. 
      
      
   
   
   
   


4. 
   Collection
   
   
   
   1. 
      Answers patient’s questions regarding statements, agency coverage, etc.
      
      
   
   
   2. 
      Handles correspondence regarding collection activity and records results
      
      
   
   
   3. 
      Identify patient accounts for collection action when accounts become delinquent or when unable to contact patient or responsible party
      
      
   
   
   4. 
      May receive patient payments and/or issue payment receipts
      
      
   
   
   
   


5. 
   Follow-Up
   
   
   
   1. 
      Initiates contact with patients and/or third-party carriers if there is a delay in responding to statements or claims
      
      
   
   
   2. 
      May process incoming and outgoing mail
      
      
   
   
   3. 
      May receive incoming telephone calls and resolve issues communicated
      
      
   
   
   4. 
      Records results of mail and telephone contacts on the computer billing system
      
      
   
   
   5. 
      Contacts insurance carriers regarding non-payment and/or improper payment of claims
      
      
   
   
   6. 
      Reviews and resolves insurance denials
      
      
   
   
   7. 
      Interfaces with patients, physicians, and others regarding professional billing operations and funds
      
      
   
   
   8. 
      Claims follow-up for Medicare, Medicaid, third-party administrator and Dental claims
      
      
   
   
   9. 
      Utilize Clearinghouse to work insurance denials and follow up
      
      
   
   
   
   


6. 
   Payment posting
   
   
   
   1. 
      Post receipts to proper patient accounts
      
      
   
   
   2. 
      Posts denials
      
      
   
   
   3. 
      Compare batch proofs and source documents for accuracy
      
      
   
   
   
   


7. 
   Reporting
   
   
   
   1. 
      Assists in reviewing AR transaction reports in aXium or Eagle Soft.
      
      
   
   
   
   


8. 
   Credit balance resolution
   
   


9. 
   As Needed
   
   
   
   1. 
      Performs various duties as needed in order to successfully fulfill the function of the position.  
      
      
   
   
   
   

Education: High School Diploma or GED
 
Experience:  30 months experience: minimum of 18 months experience in a clinical environment and 12 months experience in a customer service role 
 
Skills: 

• 
  Excellent data entry skills
  
  


• 
  Computer skills (Word, Excel, and Outlook)
  
  


• 
  Excellent oral & written communication skills