Description

Ensure compliance of philosophy, policies, procedures, and goals of the Rural Health Clinic. Performs bookkeeping and accounting for patient billing, collections, and related work.

ESSENTIAL FUNCTIONS:

  1. Checks to ensure all necessary information for proper billing is recorded in patient charts.  Responsible to contact patients as necessary regarding account information
  2. Prepare claims to submit to both primary and secondary insurance companies for payment on patient accounts.
  3. Keys and transmits claims electronically to Medicare, Medicaid, and NEIC carriers
  4. Responsible to contact the insurance companies in effort to collect the submitted patient claims.
  5. Resubmits any information required by insurance companies in order to process claims.
  6. Adjusts the computer classification of claims to most accurately reflect the expected pay source
  7. Meets monthly cash collection/AR day goals
  8. Attends annual in-services and updates staff development records accordingly.
  9. May act as backup for insurance verification, collections, and outpatient registration.
  10. Performs charge audits as directed
  11. Performs other tasks as may be assigned

REQUIRED KNOWLEDGE, SKILLS, ABILITIES AND COMPETENCY:

  1. Knowledge of basic bookkeeping, general accounting, collecting, and standard office practices and procedures
  2. experience in physician office with coding experience and/or third party or related duties
  3. and ability to learn patient scheduling, billing system

Equal Opportunity Employer

Labeled as: Hospital Billing

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