Job Description
ESSENTIAL
DUTIES AND RESPONSIBILITIES include the following. Other
duties may be assigned.
• Answers
questions, processes information obtained from patients and processes
customer complaints by giving information to the appropriate person(s).
Takes appropriate action to resolve accounts.
• Edits and releases accounts for billing.
• Sends appropriate letters to patients as needed.
• Inputs any obtained information and notes relating to the
account into computer system as needed.
• Calls insurance company or third party to obtain billing information
and/or to check claim status or eligibility.
• Processes medical records requests and forwards to appropriate
persons or units within the department.
• Faxes or mails information to appropriate billing services
as required.
• Assists all other units within Patient Business Services Department
(i.e., processing queues, providing data entry, etc.).
• Assists bi-lingual patients, if capable, by translating documents
and conversations.
Contacts
patients to obtain information such as:
• Receive all incoming correspondence, return mail and "no
mails" and sorts it appropriately.
• Process correspondence, return mail and "no mail"
according to specific paysource procedures.
• Utilize all tools available to identify the error in the address
including the internet, billing system, imaging and patient and facility
contact.
• Manipulate the system to route trips to designated queue or
unit and resends corrected mail.
• Document all necessary details in trip comments, including
imaging tracking number.
• Prepare correspondence batches for imaging.
• Audit correspondence, return mail and "no mails"
and provides feedback for internal and external training needs.
• Must be able to pass Quality Assurance audit with an accuracy
rate of 95% or better.
• Perform other duties as assigned.
Job Requirements
MINIMUM QUALIFICATIONS:
High school diploma or GED. Minimum of one year prior office work
experience. Prior medical office or healthcare insurance experience
is preferred. Prior medical billing experience is preferred. General
working knowledge of PCs and/or patient accounting computer systems.
Must type minimum 45 wpm and pass pre-hire and department specific
testing requirements. Effective oral, written and interpersonal communication
skills. Able to perform duties within tight time constraints and handle
large volumes of work. Able to effectively handle complex customer
issues. Able to work cooperatively in a team atmosphere. Familiarity
with insurance, Medicare, Medi-Cal and Kaiser, contract guidelines
and protocols is preferred. Bilingual in Spanish is also preferred.
Tags: Admin
& Clerical : Banking
Jobs : Financial
Services Jobs
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