Position Summary
Responsible for accurately and efficiently processing claims and invoices.
Job Duties
- Prepare bills and invoices for medical services and treatments received
- Manage the billing for commercial insurance and managed care payers
- Perform billing functions to review and take necessary actions to resolve billing errors ensuring clean claim submissions
- Utilize all resources available, including electronic inquiries to verify eligibility, benefits and claim status
- Exercise good judgement toward account resolution and documents all activity on an account in a clear, accurate and consistent manner utilizing appropriate online system
- Maintain claims tracking for the worker’s compensation and motor vehicle billing program
- Provide support for the department and assist with special projects, as assigned
- Demonstrate excellent customer service skills when responding to incoming or outgoing calls in a most courteous manner providing clear and appropriate information as needed
- Advise team lead and/or supervisor of any billing errors, payer trends in claims processing, denials or payment fluctuations, to ensure proper handling and escalation as necessary
- Adhere to all Hospital Regulations associated with Compliance (to include HIPAA, etc.)
- Performs other duties as assigned.
Qualifications and Skills
- Excellent customer service skills and problem solving skills.
- Strong analytical and organizational skills.
- Ability to interact with varying cultures and a diverse population.
- Basic computer skills.
- Bi-lingual in Spanish preferred.
Education, Experience and Certification/Licensure Requirements
- H.S. Graduate or equivalent
- 1-2 years’ experience in a customer relations driven industry preferred
- Prior billing experience a must.
