Responsibilities

·        Performs all medical billing and collection functions for patients

·        Verifies insurance eligibility/coverage; processes all 3rd party claims

·        Prepares patient computer statements; supervises review and mailing activities; corrects address and account balance information, as necessary

·        Performs hospital billing functions for Medical-Ob/Gyn

·        Researches and corrects error lists for claims

·        Performs follow-up on insurance claims to ensure timely, maximum payment

·        Coordinates closely with PSR staff to    ensure accurate insurance coverage information, signed claim forms, and discussions with "self-pay" collection accounts at the time of patient visits

·        Assists patients with completion of insurance forms

·        Establishes payment schedules with patients, as needed; send demand letters for payment, as required

·        Maintains complete audit trail information on all collection activities, including date-stamping of incoming requests, documentation of phone calls and discussions, and written follow-up as appropriate

·        Coordinates with collection agencies and state agencies, as necessary, for billing and collection activities

·        Maintains a library of reference manuals on insurance carriers, including Medicare and Medicaid; coordinates with insurance company representatives, on a regular basis, to keep apprised of changes in procedures and fees; maintains contact for "Public Relations" purposes and to ensure a smooth working relationship

·        Maintains an up-to-date procedure manual for all job functions

·        Assists in cash receipts activities including receipts and copies of checks, preparation of bank deposits, input to the cash receipts journal, posting deposits to manual logs, posting of insurance payments, etc.

·        Coordinates closely with the Director of Finance to prepare management reports on accounts receivable outstanding and collection information

·        Participates in the review of Computer generated statistical reports; provides research and analysis as necessary

·        Performs other duties as assigned