General Summary

Performs a variety of complex clerical and accounting functions for patient billing, including maintenance of third party billing records and resolution of a variety of insurance issues. Follows up on submitted claims and patient billing; resubmits claims or resolves problems. Works with others in a team environment.

Primary Responsibilities

1.Processes billings to patients and third party reimbursement claims; maintains supporting documentation files and current patient addresses.

2.Researches and responds in person, by telephone, or in writing to patient inquiries regarding billing issues and problems.

3.Works with medical staff to ensure that correct diagnosis/procedures are reported third party insurance carriers.

4.Follows up on submitted claims; monitors unpaid claims, initiates tracers; resubmits claims as necessary.

5.Posts and reconciles payments to patient ledgers.

6.Follows and reports status of delinquent accounts.

7.Maintains patient demographic information and data collection systems.

8.Maintains billing/filing records in accordance with established protocol.

9.Performs a variety of general clerical duties and other routine functions.

10.Ensures strict confidentiality of financial records.

11.Performs other duties as assigned.

Work Experience

Minimum of one year experience in medical office setting.

Two years of prior employment experience in medical billing.

Education/Certifications/Licensure

High School Diploma or equivalent

Coding Certification

Skills

Computer skills and experience in maintaining automated record keeping systems.

Good communication skills, written and oral, are necessary.

Prefer bilingual in English and Spanish.