Job description
- Verify completeness of registration information. Add and/or update as needed, Verify and/or Assign financial class and code appropriately, Verify and Enter patient demographic information utilizing automated billing system, Verify Insurance coverage utilizing various online software tools.
- Inform Team Leader on the status of work and unresolved issues. Alert Team Leader of backlogs or issues requiring immediate attention, as well as any unresolved issues. Contact insurance companies to ascertain the status of claims and identify additional
- Work A/R, including correspondence. Documents notes in the automated billing system regarding patient inquiries, conversations with insurance companies, clinics, etc. for all actions.
- Identify payor issues. Review PSR requests and determine course of action.
- Ability to recognize when a referring provider, authorization and/or a referral is needed and perform necessary research to identify same, utilizing other EMR systems, web portals, as needed. Knowledgeable regarding process to have a new provider added to EPIC.
- Identify trends by payor that impact A/R and communicate to leadership (Denials, payment transfers, etc.).
- Perform special projects assigned by the Team Leader or Manager.
- Ability to work overtime as needed based on the needs of the business.
Job Requirements:
Temperament
Adhere to company policies and procedures, demonstrate the core values and Hospitality behaviors, resolve conflict through open, honest, professional communication, demonstrate positive and enthusiastic attitude, keep supervisor and leadership apprised of issues, and seek opportunities to recognize others.
Skills, Knowledge, Abilities
- Ability to recognize the need to establish an appropriate account utilizing Company Policy.
- Ability to enter charge information into EPIC.
- Ability to correct edits timely and as appropriate.
- Ability to identify payer specific coding guidelines, billing edits, National Correct Coding Initiative, and online tools.
- Ability to operate standard business equipment, e.g., copier and fax machine.
- Strong telephone skills, payor websites and other online payor tools, preferred.
- Strong analytical and problem solving skills, 10 key proficiency.
- Excellent interpersonal and communication skills.
- Ability to work as a team is essential to the individual's success.
- Knowledge of third party reimbursement.
- Average typing speed of 35 WPM with minimal errors.
- Computer literate with proficiency in Microsoft Office (Outlook, Word, Excel, Access, and Power Point), Adobe Acrobat, 10-key, and database management.
- Knowledge of procedure and diagnosis coding and medical terminology.
Experience Requirements
3 years Health care experience in medical billing or related position required
3 years Computer experience in medical billing required
3 years Medical Billing system required
Education Requirements
High School Diploma or GED equivalent required
Training Medical Terminology Course preferred
UFJPI is an Equal Opportunity Employer
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