JOB SUMMARY

Responsible for proper communication with patients regarding account balances for physical therapy visits. Generates patient account statements and maintains accounts receivable files and follow up on collection of receivables.

Reviews financial obligation with patient and family member.  Responsible for ensuring physical therapy claims are billed timely with accurate coding. Communicates with therapists to ensure all charges are being captures through proper documentation.  

QUALIFICATIONS

• High School graduate required
• Four years of medical facility or medical business office experience preferred
• Experience in customer relations or teaching preferred
• Experience in third party payer requirements preferred
• Automated billing systems experience required
• Training/experience in business office activities preferred
• Requires frequent and constant judgement for timely response to patient questions and concerns.
• Requires language skills adequate for effective written and interpersonal communication in American English.
• Require visual and auditory acuity adequate for frequent use of computers and occasional use of other business office equipment.

OCCUPATIONAL EXPOSURE

Category III exposure to bloodborne pathogens may encounter chemical hazards.

RESPONSIBILITIES

1. Communication Responsibilities to include, but not limited to:

1.1.  Provides documentation to patients and business office staff.

1.2.  Maintains current materials for patient education.

1.3. Discusses documentation with patient and family member, confirming that the patient understands our billing processes and procedures.

1.4. Answers patient and family member questions and refers questions to healthcare professionals when appropriate.

 1.5 Communications pertinet information from the physician, support staff, insurance companies and other significant parties to the patient.

1.6 Communicates with therapists to ensure all charges are being captured through proper documentation.

1.7 Reports regularly to the Revenue Cycle Manager about the status of current projects of workflow.

2.   Counsels patients about Facility charges, insurance coverage and ancillary charges that may be incurred.

2.1.  Discusses financial obligations with the patient or family member, explaining the fees and reimbursement process

2.2.  At patient request, provides a written explanation of estimated fee schedules prior to physical therapy and documents it in the patient's medical record.

2.3. Forwards all financial documentation to billing department.

2.4. Assists in planning a payment schedule for the patient.

2.5. Completes data entry of patient cost sheets, if applicable.

3.   Evaluates the educational and counseling programs to identify areas for improvement.

3.1. Reviews the outcome of teaching and counseling programs as reflected in the patient's overall satisfaction and compliance.

3.2  Makes suggestions to supervisor regarding changes that could be made to better enhance our  financial performance and/or patient satisfaction.

 4. Bills and follows-up with patients for services received in accordance to Facility Policy and Procedures.     

 4.1 Maintains current information on claims adjudication and payment policies on all encountered third party payors and government intermediaries.

4.2 Generates patient statements according to facility policy and procedures

4.3 Maintains current information on correct and lawful practices in billing patients

4.4 Monitors statements for accurate and timely completion.

4.5 Monitors accounts receivable to identify billing errors, coding errors, and timely rebilling.

4.6 Follows-up on past due accounts with patients

4.7 Reports status of accounts receivable as requested.

4.8 Provides management reports to the Revenue Cycle Manager on a monthly basis per protocol.