PURPOSE STATEMENT:

Responsible for obtaining accurate and detailed information concerning insurance and self-pay reimbursement on all patient accounts.

ESSENTIAL FUNCTIONS:

• Request and process all bills to third party payors and patients, maximizing re-imbursement of services provided to achieve established hospital goals.
• Responsible for accurate and timely data entry of charges, payments, adjustments and other transactions to patient accounts as required to include both insurance and patient billing for charges incurred.
• Responsible for timely follow-up to insurance companies on billing submitted in order to allow for an effective and efficient cash flow of hospital receivables.
• Record both A/R and miscellaneous cash.
• Prepare bank deposits and post cash and adjustments to patient records as required.
• Balance A/R and maintain supporting reports as per department policy.
• Retrieve and perform electronic billing to insurance companies in a timely manner.
• Make follow up calls to insurance companies and guarantors as required.

OTHER FUNCTIONS:

• Perform other functions and tasks as assigned.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• High school diploma or equivalent required.
• Additional college course work preferred.
• Three years of business office experience, preferably in a hospital or medical office.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• Not applicable

Experience

• 3 year(s): Three years of business office experience, preferably in a hospital or medical office.

Education

• High School/GED or better

• Some college or better

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)