Biller- FT 40

Department:Patient Accounts

Immediate Supervisor:Director Patient Financial Services

Position Status:FT

Hours per week:40

Shift:8a.m.-4:30p.m.

Weekends:No

JOB TITLE: Clinic Biller      DEPARTMENT: Patient Accounting

IMMEDIATE SUPERVISOR: Clinic Billing Supervisor

JOB SUMMARY:  

 

Responsible for preparation and submission of all billing forms for clinic patients to all payors including Medicare, Medicaid and third-party billing. Responsible for maintaining an open line of communication with all payors including claim follow-up and completing denials and appeals. Responsible for preparation and submission of patient statements. Responsible for all end of month reports. Assists patients with problems concerning billing. Reviews account receivables on a weekly basis. Accurately receipts and posts payments o patient accounts, reconciles cash and prepares bank deposit daily. Knowledge of reimbursement rates of all contracts and third party payers. Answers patient's questions regarding bills, payments, liability etc. in a competent and professional manner. Performs other work associated with the billing process.

 

QUALIFICATIONS:

Education: High School graduate. Post high school courses in insurance billing, computers and medical terminology preferred.

 

Training:  Six months

 

Experience: Twelve months previous government and insurance billing, both electronic and hardcopy, for facility and professional services preferred.

 

Job Knowledge:  Ability to operate computer systems and basic office equipment. Good understanding of commercial insurance and Government agencies (ex. Medicare, Medicaid), and their billing requirements and method of payment.  

Knowledge of terminology associated with insurance and government agencies. Medical terminology. Effective communication techniques when communicating with employees, patients, and third party representatives regardless of age.

Performs other work associated with the billing process.

 

PERFORMANCE REQUIREMENTS:

Responsible For: Billing and submission of all insurance, including Medicare and Medicaid claims to ensure timely and accurate reimbursement. Answering related questions for patient and their representatives. Maintain accurate records and insurance forms.

Physical Demands: Moderate walking, standing, stooping, bending, and lifting. Sitting for long periods of time at computer. May be required to lift 20 pounds or less. Normal or corrected vision is essential for long periods of working with numbers and computer. Must have good hearing.

Special Demands: Good communications skills, courtesy and tact when dealing with patients, insurance representatives, and employees regardless of age. Must be extremely accurate, detail oriented, and organized. Must have ability to keep confidential information confidential. Must have a good understanding of hospital policy and procedure concerning refunds, discounts, contractuals, Medicare bad debt and billing.

 

REPRESENTATIVE FUNCTIONS:                     PERCENTAGE OF TIME:

 

1. Correcting and submitting patient bills.

     Analyzes claim status reports, identifies

     and rectifies problems to ensure timely

     and accurate reimbursement.                                                 75%

                                                                

  1. Matching, filing, retrieving information,

     computer changes.                                                                 10% .

    

  1. Communicating with insurance companies,

     State agencies, patients and their

     representatives.                                                                        10%

 

  1. Miscellaneous duties as assigned by supervisor.                    5%                                                        

                                                                                         _______________

                                                                                                     100%