About This Role
This full-time role involves performing various administrative tasks related to patient access and accounts, with a strong focus on patient billing and insurance verification. The position suits a hard-working and conscientious individual with a keen eye for detail.
Responsibilities
- Review, maintain, and process fiscal/account records and transactions related to patients' accounts
- Verify insurance benefits and billing information by terminal and/or telephone
- Annotate accounts with insurance coverage and estimated patient shares
- Contact third-party payers (insurance providers and state/federal agencies) for payment post billing
- Resolve issues with payment, billing, and the authorization process
- Reconcile daily money collected
- Forward information as appropriate to expedite payment
- Maintain accurate accounts, including required signatures, proper account annotation, current demographics, and correspondence
- Ensure completion of the pre-authorization process by inquiry and referral to a clinician
- Monitor insurance authorizations and claim rejections
- Maintain fiscal records and/or worksheets for all calculations, extensions, and verifications related to record keeping for assigned patient accounts
- Perform tasks consistent with authorization and billing requirements
- Contact patients for payment of account or payment arrangements according to current policy
- Manage revenue cycle, production logs, balances, and collections for self-pay clients
- Maintain confidentiality of patient records
- Assist with archiving discharged files
- Respond appropriately to requests for information regarding accounts from payer, attorney, and others
- Backup Receptionist as needed by checking in patients, collecting payments, answering phones, scheduling intakes, and data entry
- Perform other duties, as assigned
Requirements
- High school diploma or equivalent with at least 2 years’ prior experience in a medical office setting
- Excellent customer service skills and professional public presentation skills, including telephone etiquette
- Knowledge of medical insurance claims procedures, documentation, and records maintenance
- Knowledge of medical billing procedures, including gathering and compiling data into reports
- Proficient in basic PC skills, with Microsoft Word and Excel preferred
- Ability to communicate effectively, both orally and in writing
- Self-directed with the ability to work with little supervision
- Ability to understand and follow oral and written directions
- Ability to establish and maintain effective working relationships with patients, program management, medical staff, counselors, and peers
