Date Posted: Feb 09, 2019
Employment Type: Full Time

DEPARTMENT:    Business Office

REPORTS TO:    Billing Lead

JOB SUMMARY:    This individual is responsible for billing, follow-up and collection of all insurance claims; maintaining correspondence with carriers, and documentation regarding same; working with supervisor of the billing department to review problem accounts and identify necessary action to be taken.

Education and Experience:

  1. High school diploma or equivalent.
  2. Two years minimum experience in medical office; two years billing and collections experience required.
  3. Certified Ophthalmic Coding designation desired.

ESSENTIAL SKILLS AND ABILITIES:

  1. Excellent communication skills, written and oral.
  2. Strong organization skills with attention to detail.
  3. Excellent follow-up skills.
  4. Management of multiple tasks simultaneously.
  5. Ability to work as a team player.

RESPONSIBILITIES:

  1. Primary Responsibilities
  1. Is responsible for full billing processes on all patients.
  2. Processes and mails bills on a daily basis.
  3. Generates monthly A/R report for all accounts in coordination with Billing Lead.
  4. Calls those accounts which are past due.
  5. Establishes possible payment plans if appropriate and agreeable with Administrator/Office Manager.
  6. Works A/R weekly to discuss problem accounts and plans with the Billing Supervisor for upcoming week.
  7. Monitors daily appointment schedules to become aware of scheduled patients with open balances exceeding 90 days; calls patients prior to their arrival.
  8. Discusses accounts with patients and provides whatever information is required by insurance companies in order to get claim paid.
  9. Reviews the accounts Aging Analysis Report monthly to determine the accounts requiring immediate attention (60 days and over $100 balance are priority). This would be completed in coordination with the Billing Lead.
  10. Take part in chart audits
  11. Attend training to further education
  12. Also would be expected to handle preauthorization’s and precertification’s
  13. Time not spent billing would then be handling collections on accounts (50% of time)
  14. Consistently looking for process improvements
  15. Other duties as assigned