Billing Representative

Job Description

Job Title: Billing Representative

Pay: $25- $27

Hours: 8a- 5p

JOB DESCRIPTION

Position is responsible for analyzing patient accounts, researching account history and determining the appropriate information for billing patients' third party insurance carriers within a specific time period

Prepares third party billing of Medicare, Medicaid, Blue Cross, Champus, HMO's, PPO's, POS's Workers' Compensation and Special Contracts

Analyzes accounts for errors, adjustments and credits, issuing corrected entries when necessary

Communicates with other hospital departments : Medical Records, Business Office, Accounting, Labs, Physical Therapy, Infusion suites, Radiology and Materials Management to clarify coding or charges needed to complete billing process

Call Insurance Companies and / or patients to obtain missing or necessary information to complete the billing process

Maintains working knowledge of ICD10 and CPT4 codes for specified services rendered

Monitors regulations set in place by compliance programs to maintain conformity

Utilizes computer skills of various software packages : Microsoft Office, Excel, Word, Power Point Electronic billing, System on-line reporting programs, Electronic Mail, data base management and systems / mainframe / file server applications

Prepares daily, weekly and monthly reports, maintain and monitor 72 hour reports, lab compliance reports, error forms, return mail procedures, productivity reports and other departmental reports

Three (3) years hospital / medical insurance billing experience involving public contact, use of computers and related software, medical terminology and forms completion

Must have knowledge of third party billing procedures as well as state and federal regulations governing billing

Proficient PC skills including : EPIC, Microsoft Word processing, Excel spreadsheet data entry & construction of new data sheets, Access database, Microsoft Outlook, Electronic Billing system, Imaging software and calculator by touch

Must have strong analytical and problem solving skills, statistical analysis, maintaining intense concentration, and the ability to handle multiple priorities and / or special projects.

If interested, please call the office