This position is responsible for any combination of charge entry, claims editing, submission and/or follow up for patient accounts.
Prepare daily charge slips, superbills, and/or procedure notes for charge entry. Accurately enter charges into the billing system. Self-audit for quality assurance in accuracy.
Prepare claims for billing.This includes attention to detail on codes, modifiers, payer requirements, patient demographic information and additional information as required.
Initiate claim follow up activities on accounts that remain unpaid after 30 days from claim submission. This includes generating outstanding accounts receivable reports to identify accounts, contacting the correct payer, submitting corrected claims as needed, and transferring balances to the patient when required.
Resolve accounts appropriately, i.e. execute adjustments accordingly, work collaboratively with peers and vendors and/or payers to achieve department goals in Accounts Receivable, as determined by Department Leadership.
Work collaboratively with Central Registration and/or the Mid Coast Medical Groups to lend training and education in the event of registration errors.
Report trends in denials to Manager/Director. Prepare examples of denial trends for other Directors, when needed.
Actively participate in staff meetings and professional development with Manager that assist in the ongoing education and coaching to ensuring department goals are being met.
High School Graduate.
General office experience that includes accounts receivable work.
Business office background, preferably in a health care environment.