Employment Spot

Job Description

Purpose:

To post payments received from both insurance companies and patients to individual and client bill accounts.  Investigate remaining case balances and initiate the next appropriate action.  Resolve credit balances and process refund requests. Sort and distribute the mail received at the lockbox.   Act as a patient advocate by identifying the path needed to obtain the maximum reimbursement under the patients’ insurance plan.

Key Responsibilities:

• Post insurance, client, and patient payments to the appropriate accounts.
• Post contractual and negotiated adjustments when applicable.
• Review case history and remittance to determine next steps in the process.
• When needed, call insurance companies to determine how the payment amount was calculated.
• Initiate the appeals process or the patient billing process on cases with a remaining balance.
• Determine the cause of credit balances and make the appropriate adjustments
• Process refunds for patients or insurance companies, including preparation of refund voucher
• Review, sort, and distribute the incoming mail from the lockbox.
• Report all changes in insurance company payment activity to the Billing Manager.
• Act as a backup for the Billing Representative position.
• May undertake special projects assigned by the Billing Manager.

Job Requirements

Education / Experience:

• High School diploma or GED
• Detail oriented and able to multi-task
• Possess excellent written and verbal communication skills
• Able to establish priorities, work independently, and proceed with objectives without supervision.
• Proficient in using Microsoft Excel and Word
• Possess excellent math skills
• Capable of accurate, high speed data entry and 10 key