Billing Associate

Job Description

Description:

Billing Associates are responsible for working closely with the Billing Manager to ensure that all insurance information is entered correctly, and charges and payments are recorded accurately and communicated as effectively as possible to patients. This position also fields questions from satellite clinics and troubleshoots any issues or denials.

RESPONSIBILITIES

Insurance Verification and Good Faith Estimate (GFE)

1. Manages incoming forms, sorting for priority based on appointment date

2. Contacts commercial/state insurance companies to verify benefits for patients

3. Accurately fills out GFEs with attention to detail, utilizing problem-solving skills

4. Ensures HIPPA compliance and security of documents

5. Maintains effective communication with the entire office team

6. Various other duties as requested

Authorizations and Commercial Billing

1. Reviews and completes authorizations daily as needed

2. Processes, adds Explanations of Benefits (EOBs) as needed, and mails claims

3. Learns processes/procedures and acts as back up to the Billing Manager

4. Works with the Billing Manager to solve problems and create solutions

Patient Accounts Receivable

1. Runs payment plans daily as needed

2. Posts daily patient payments from mail

3. Reviews and applies patient credits daily

4. Reviews the list of patient balances at zero daily, moves to Closed as appropriate

5. Processes statements monthly, including first level messaging or escalation

6. Performs Accounts Receivable calls to patients according to the monthly schedule

7. Creates Final Notification letters and payment plans monthly

8. Be a knowledge resource to the scheduling and front desk staff and therapists

9. Answers phones in a friendly and courteous manner

10. Takes patient payments and documents appropriatelyRequirements:

1. Ability to communicate effectively with the entire administrative team and patients

2. Must be highly organized

3. Proficient computer skills with the ability to understand complex insurance information

4. Exceptional attention to detail

5. Exceptional oral and written communication skills with ability to respond to questions in a tactful and professional manner

6. Strong problem-solving abilities

7. Ability to be self-directed and work independently, contribute to team efforts and work well with other departments as needed

EDUCATION & EXPERIENCE

1. High school diploma

2. Solid working knowledge of medical insurance, terminology, billing, coding, and diagnosis or revenue cycle issues

3. 3 years of experience in the medical field

4. 1 year of experience working with medical insurance including understanding of commercial based payor contracts, medical authorizations, secondary billings, and familiarity with medical online portals

5. Experience contacting insurance companies, and knowledge of deductibles, copays, and co-insurances and how they work

Full-time