Job Description
Job Description
Job Scope:
Essentials Job Functions
General – Coordinate and participate in activities involved in the review, adjustment and collection of patient accounts in the Billing and Collections Department.
Specific – Responsible for the billing and processing of claims. Responsible for the review, adjustment and collection of delinquent accounts to include preparing patient refunds and write-offs including proper documentation for bad debts. Prepare financial and collection effort data. Answer a variety of correspondence from patients and their representatives, insurance companies, attorneys and administrators of estates regarding billing, insurance and payments; interview or telephone concerned parties regarding delinquent accounts or unusual collection problems. Maintain liaison with facility and clinic supervisory personnel to coordinate collection efforts and to resolve problems. Assists in the preparation of reports and analyses for month end close.
Quality - Participates in performance improvement activities that ensure important processes and activities are measured, assessed and improved systematically.
Safety/Risk/Compliance/OSHA - Maintains and supports a safe and compliant environment. Complies with all state and federal laws, Medicare/Medicaid guidelines, ASC and hospital policies, procedures and rules.
IT – Maintains all security passwords given to him/her. Keeps current on the knowledge of all accounting and IT Applications used in ASC’s and hospitals.
HITECH HIPAA - Keeps staff and patient information within the HITECH HIPAA privacy laws.
Non-Essential Job Functions
Assist with department as requested.
Experience required: High school diploma or equivalent required. Two or more years experience in patient account management in a facility, hospital or physician practice setting preferred. Experienced in word processing and spreadsheet software. Good knowledge of correct bookkeeping, billing and collection practices. Good communication, organizational and interpersonal skills. Good personal credit report required.
Environmental and physical requirements - The employee works in a temperature controlled environment. Candidate must be able to read and speak English fluently, have cognitive skills for math, reading, computer skills, communication skills to deal well with the public (customers) as well as peers. Vision for near, mid-range, far and accommodation. Hearing for low, medium and high pitch. Job requires sitting for 70% of activities with minimal up and down activity. Job risk include exposure to computer for 6-7 hours per day with typing activities, lifting of 20-30 pounds maximum, potential for exposure to blood and body fluids (minimal), and exposure to infectious disease.