BILINGUAL Billing Acct/Collections (US 75 and Walnut Hill Ln area)

Job Description

Job Description

· Works a detailed daily work queue for assigned accounts over 31 days old.

· Works detailed aging report as assigned for accounts over 31 days old.

· Audits assigned accounts for proper insurance filing. Compares posted payments to EOBs to confirm proper patient balances prior to patient collection attempts.

· Keeps up-to-date on vital contract information concerning assigned payers to establish proper and timely payment of claims.

· Determines average claim entry, processes timeframes for assigned payers, and determines the status of unpaid claims beginning from the 45th workday from the date of service.

· Responsible for using available tools to extract needed EOB’s or zero pay EOB’s when needed. Responsible for monitoring all aged patient balances and monthly patient collection calls for outstanding balances owed.

· Utilizes approved appeal form letters to submit appeals in accordance with billing office policies and procedures.

· Researches medical or coding denials to process appeals and coverage guidelines.

· Demands claims for secondary insurance filing and copies explanation of benefits in accordance with business office policies and procedures.

· Procures applicable payment from patients, or establishes payment arrangements not to exceed 120 days from the date of service.

· Skip traces accounts according to established practices.

· Reviews payment arrangement accounts that have not had regular payments in over a month.

· Initiates collection letters and/or statements to patients in accordance with business office policies and procedures.

· Responsible for neatness of work area and security of patient information in accordance with the Privacy Act of 1974 and the Health Information and Portability Act (HIPAA).

· Works with Supervisor, Director, and Compliance Committee to ensure Compliance Program is followed.

· Performs other duties as assigned or requested.

Company DescriptionWe are committed to delivering exceptional services and professionals with proven work ethics and processes.
Provide an exceptional client experience
Deliver on our commitments
Build trust by thinking and acting with integrity
Create an environment that inspires innovation

Company Description

We are committed to delivering exceptional services and professionals with proven work ethics and processes.\r\nProvide an exceptional client experience\r\nDeliver on our commitments\r\nBuild trust by thinking and acting with integrity\r\nCreate an environment that inspires innovation