Job Description

DEPARTMENT: Revenue Cycle

REPORTS TO: Director, Revenue Cycle

SUMMARY:Responsible for posting of line item insurance payments and patient payments into the billing system, posting of declines, charge corrections, and preparation of daily deposits and reconciliation/audit of posted transactions.

The successful candidate must know how to read and interpret EOBs and explain remittance issues if necessary and must have a thorough knowledge of insurance guidelines including Medicare, Medicaid, and commercial carriers.

JOB DUTIES:

• Review and post all payments received by the insurance carriers and patients to ensure accurate account balance
• Obtains, reviews and updates patient demographics and insurance information within the practice management billing system.
• Adheres to all HIPAA (Health Insurance Accountability and Portability Act) guidelines and regulations.
• Ability to consistently maintain productivity and quality expectations as defined by management.
• Alert management to irregularities, insurance trends and areas of concern with reimbursement.
• Completes other tasks and responsibilities as assigned.

QUALIFICATIONS AND SKILLS:

• High School Diploma, GED or equivalent Required
• Minimum 3 years of billing experience in an outpatient setting
• Strong attention to detail
• Primary care billing experience is a plus
• Ability to be self-directed, coupled with exemplary time management skills and the ability to simultaneously manage multiple tasks.