Minimum of three years of medical billing and payment posting experience required.
Prior insurance knowledge preferred.
Knowledge of patient types, financial classes, insurance estimates, and entities preferred.
Proficient in ten key skills or abilities required.
Attention to detail essential.
PHYSICAL DEMANDS
The position has no unusual demands.
Typical office job with occasional lifting and carrying of up to 10 pounds.
The position may require walking or standing, as well as stooping or bending.
Minor discomfort from continual use of video display terminal.
Time Type:
Full time
Additional Information
Job Description:
ESSENTIAL JOB FUNCTIONS
Opens, separates, alphabetizes and photocopies insurance and self-pay checks. Calculates dollar and cash total on each, reconciles and forwards to accounting. Retrieves and monitors daily for electronic remittances from our vendors for electronic payment postings. Retains copies of insurance co-payment schedules. Compares payments to payment schedules for accuracy of payment contractual adjustment and effective date identifying any discrepancies. Consistently evaluates the accuracy of third-party payments. Consistently initiates appropriate follow-up action to the various third party contractors to address additional post-implementation needs. Reviews all accounts for secondary insurance and overpayments. Reviews all account notes for credit balances and initiates refunds. Reviews payment information, accurately code and applies monies/contractual adjustments to patient accounts. Scans and downloads payment batch reports. Maintains unidentified payment log daily. Consistently is attentive to record keeping and documentation of work performed to include but not limited to the unrecorded cash spreadsheet. Demonstrates a consistent level of performance; maintains progress on special report projects; informs manager of progress status and strives to meet deadlines. Collects monies for the amount owed by the patient and other unpaid accounts in a courteous, but firm manner. Applies monies to patient accounts and reconciles Cash Receipts and Self Pay checklist daily. Verify, apply and balance cash receipts received from our many outpatient areas. Reviews and makes direct deposit electronically for credit cards. Reviews billing data obtained during registration to determine discharge status and look for any deficiencies (i.e. copy of cards, errors from registration). Information is obtained or corrected on or before discharge. Communicates changes with co-workers promptly and courteously. Performs other duties as assigned by Accounts Receivable Manager.
The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.
EDUCATION
High school graduate or equivalent required.
Sevencounties · Louisville, KY