BILLING AND COLLECTIONS DUTIES:
- Sending out monthly statements/invoices.
- Sending collection letters to patients that are delinquent on their bills and follow-up
- Responsible for setting up payment plans for accounts in arrears
- Answer questions for billing inquiries and insurance payment inquiries, by phone, in person and written.
- Sending account information to collection agency
- Reinstate bad debt accounts and apply payments
- Post pay directs towards collection accounts and notify agency
- Send patients account information for taxes, flex accounts and itemize print outs.
- NSF follow ups
- Insurance verification and clearances for elective procedures and prior payments arrangements for non-covered items (i.e. vasectomy, IUD’s, implantable devices, etc.)
- Print out attorney requests for court action (i.e. work comp, liability suits)
- Put alert on Bankruptcy accounts
- Create invoices as necessary
- Responsible for updating Business Office of changed Billing & Collection policies and procedures.
- Post personal payments, (cash, checks, money orders & credit cards)
- Set up accounts for drug screens.
- Balance front office staff bank pouches
- Monitor credit card terminals, update staff on any changes.
- Run and balance to credit card end of day reconciliation report
- Monitor overpayments and handle appropriately
- Post refunds and mail checks
- Post adjustments, split provider adjustments, collection write offs, small balances, provider reductions, etc.
- Monitor insurance contracts and follow up on any discrepancies
- Update file maintenance – dx codes, CPT codes, providers, NPI numbers, etc.
- Post INR home charges
- Post NextMD payments and reconcile to InstaMed end of day balance
- Post HRA payments.
- Move patients to own account when they turn 18
- Follow the unapplied list and apply to encounters as appropriate
- Monitor postal meter and download postage updates when applicable
- Import and post Medicaid ERA’s, work denials, enter electronic secondary claims into Forward Health Portal, etc.
- Import and post Unity/Medicaid Unity ERA
- Work and follow up on late list for assigned task groups, Medicaid and Medicaid Unity.
- Monitor Unity capitation
- Follow up on insurance pending route slips
- Run Billing & Collection Reports (i.e. first OB, unity cap, estate accts, employer
accts, etc)
- Manage and update claim edit library
- Manage and set up work log tasks
- Set up payers to receive electronic remittance advices
- Assist in EPM technical issues and provider support to staff, open support ticket when needed.
- Process auto credit card payments per patient’s request
- Complete & fax Child Support Agency & Housing forms
- Monitor & clean up alerts
ADITIONAL FUNCTIONS:
- Handles pop and postage money
- Order coffee and stock in break room as needed
- Deliver bank deposits as needed
- Take certified mail to post office as needed
- Assists in running outgoing mail thru postage meter
- Assists in sorting incoming mail
- Assists in running claims when Insurance Specialist is out
- Assists in posting charges when Charge Entry person is out
- Assists in manual updates of new fees into File Maintenance in EPM that don’t upload
- Assist in working unbilled charge report
- Assist in posting/scanning commercial remittance advices
- Assist in importing and posting ERA checks
- Assist in working aging tasks
- Other duties as assigned
- Assists other departments as needed
- Attends training sessions as requested and/or desired for knowledge and expertise with position
CHARGE ENTRY DUTIES:
- Posts in-house charges, which have been reviewed by the Coding Department to patient’s accounts using CPT 4 and ICD 9 codes. Reviews coding rules and specific payer guidelines when posting.
- Run claim edit when posting charge, refer to appropriate Department to correct.
- Apply unapplied payments when applicable.
- Work immunization reconciliation report.
- Post flu shots
- Code allergy shot route slips
- Create encounters and post charges for Home Health certification and recertification paperwork.
- Work unapplied report
- Monitoring & notifying coding department when unbilled claim is approaching timely filing limit.
- Manage charges in holding tank, accept & decline when appropriate.
- Post flu vaccine charges from flu shot form.
ADDITIONAL FUNCTIONS:
- Assist in following up on unbilled list
- Assist in creating encounters and posting nursing home visits.
- Other duties as assigned
- Assists in working Billing and Collection reports as needed
- Assists other departments as needed
- Attends training sessions as requested and/or desired for knowledge and expertise with position
- Assists in monitoring old alerts and refers to appropriate department.
REIMBURSEMENT SPECIALIST:
- Posts payments from commercial and contracted insurances, verifying correct account, patient, payment amount, adjustment, co-pay, co-ins, and deductibles. Scanning and attaching Explanation of Benefits to corresponding encounter.
- Posts Quic Remit credit card payments and scans Explanation of Benefits.
- Imports and posts Electronic Remittance Advices. Verifying correct account, patient, payment amount, adjustment, co-pay, co-ins, and deductibles.
- Posts EFT payments from commercial insurances verifying correct account, patient, payment amount, adjustment, co-pay, co-ins, and deductibles. Scanning and attaching Explanation of Benefits to corresponding encounter. Create dummy deposit slip for balancing.
- Imports and posts Medicare Electronic Remittance Advices. Verifying correct account, patient, payment amount, adjustment, co-pay, co-ins, and deductibles. Create dummy deposit slip for balancing as Medicare funds are electronically transferred.
- Refers denied or incorrectly paid claims to Insurance specialist for follow up.
- Makes copies of EOB’s for departments where follow up is necessary, i.e. overpayments, denials, secondary insurance, etc.
- Post HRA payments.
- Work aging task list for Unity, Unity Medicaid and Physicians Plus, primary and secondary, referring to appropriate department for follow up when needed.
- Work aging task list for workers compensation and liability visits. Calling insurance companies to follow up when appropriate.
- Force bill electronic COB claims to secondary payers.
- File denied workers comp and liability claims to health insurance if applicable.
ADDITIONAL FUNCTIONS:
- Assists with insurance verification and clearances for elective procedures and prior payments arrangements for non covered items (i.e. vasectomy, IUD’s, implantable devices, etc.)
- Assists with printing out attorney requests for court action (i.e. work comp, liability suits)
- Other duties as assigned
- Assists other departments as needed
- Attends training sessions as requested and/or desired for knowledge and expertise with position
- Assist in posting personal payments, verifying correct account and amount.
- Assist in posting insurance credit card payments and scan EOB
SKILLS AND ABILITIES:
- Exercises independent judgment and initiative.
- Must be able to Multi-task.
- Maintains a professional, courteous demeanor when dealing with providers, other employees, the general public and other outside agencies.
- Maintains patient confidence and protects operations by keeping all information confidential. Abides by all HIPAA regulations.
- Good interpersonal and organizational skills.
- Maintains regular consistent and professional attendance, punctuality, personal appearance and adherence to relevant health and safety procedures.
- Entry level computer and keyboarding skills
Job Type: Full-time
Pay: $19.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work setting:
Experience:
- Charge Entry: 1 year (Preferred)
Ability to Relocate:
- Sauk City, WI 53583: Relocate before starting work (Required)
Work Location: In person