Responsibilities
• Accurately and efficiently handle incoming payments from patients and insurance companies.
• Process billing statements to ensure that all charges are correctly billed, and payments are correctly applied.
• Monitor and record payment deposits from various sources, including patients and insurance companies.
• Reconcile deposits to ensure all payments are accounted for and correctly applied to the appropriate accounts.
• Collect and organize payments into batches for processing.
• Ensure that payment batches are prepared accurately and submitted for processing in a timely manner.
• Perform regular audits of billing cycles to ensure accuracy and completeness, identifying and correcting errors or discrepancies, and reporting audit findings to the appropriate department.
• Assess Explanation of Benefits (EOBs) from insurance companies and address any issues or discrepancies found in EOBs.
• Maintain accurate records of all billing and report any discrepancies or issues to the accounting department.
• Process and apply credits to customer or patient accounts, ensuring accurate adjustments and proper documentation in the system.
Qualifications and Requirements
• Proficient in reading, writing, and interpreting business documents, with a solid understanding of medical policy, coding, and payer billing regulations.
• Strong customer service skills with the ability to communicate effectively with patients, co-workers, and providers.
• Clear and coherent in both written and verbal communication skills with a positive attitude and flexibility.
• Advanced computer skills, including proficiency in MS Office and 10-key data entry.
• Ability to work independently while effectively managing time and prioritizing multiple assignments.
• Has a strong focus on accuracy in financial reporting and the ability to interpret complex instructions.
• Sound judgment in recognizing problems, evaluating alternatives, and implementing solutions.
• Ability to maintain composure in challenging situations and handle conflicts professionally.
• Keeps abreast of changes in policies and procedures related to professional billing services.
• Fosters a positive team environment and supports colleagues in achieving departmental goals.
• Takes responsibility for personal actions and ongoing self-development; develops creative solutions to improve productivity.
