Billing and Follow-Up Representative, Medical Billing Follow-up – Commercial Payors
Job Description:
• Performs day-to-day billing and follow-up activities within revenue operations for assigned Patient Business Services (PBS) location
• Serves as a member of the billing and follow-up team responsible for billing and follow-up of accounts
• Provides training and guidance to lower level colleagues and problem resolution as needed
• Documents claims billed, paid, settled, and follow-up in appropriate system(s)
• Identifies and escalates issues affecting accurate billing and follow-up activities
• Adheres to proactive practices which includes contacting the payer directly for payment due on accounts
• Communicates with appropriate hospital departments to clarify billing discrepancies
• Performs follow-up functions including investigation of overpayments, underpayments, credit balances, and payment delays
• Researches claim rejections, makes corrections, and conducts corrective actions
Requirements:
• High school diploma or Associate's degree in Accounting or Business Administration or related field
• Minimum of three (3) or more years' of direct experience and relevant knowledge of revenue cycle functions and systems
• Experience within a hospital or clinic environment, health insurance company, managed care organization or other health care financial service setting
• Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel
• Completion of regulatory/mandatory certifications and skills validation competencies preferred
• Excellent verbal and written communication and organizational abilities
• Strong interpersonal skills
• Accuracy, attention to detail, and time management skills
• Ability to work independently
• Ability to perform billing and follow-up activities in a prompt and accurate manner
• Must be comfortable operating in a collaborative, shared leadership environment
• Must possess a personal presence characterized by honesty, integrity, and caring.
Benefits:
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• Performs day-to-day billing and follow-up activities within revenue operations for assigned Patient Business Services (PBS) location
• Serves as a member of the billing and follow-up team responsible for billing and follow-up of accounts
• Provides training and guidance to lower level colleagues and problem resolution as needed
• Documents claims billed, paid, settled, and follow-up in appropriate system(s)
• Identifies and escalates issues affecting accurate billing and follow-up activities
• Adheres to proactive practices which includes contacting the payer directly for payment due on accounts
• Communicates with appropriate hospital departments to clarify billing discrepancies
• Performs follow-up functions including investigation of overpayments, underpayments, credit balances, and payment delays
• Researches claim rejections, makes corrections, and conducts corrective actions
Requirements:
• High school diploma or Associate's degree in Accounting or Business Administration or related field
• Minimum of three (3) or more years' of direct experience and relevant knowledge of revenue cycle functions and systems
• Experience within a hospital or clinic environment, health insurance company, managed care organization or other health care financial service setting
• Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel
• Completion of regulatory/mandatory certifications and skills validation competencies preferred
• Excellent verbal and written communication and organizational abilities
• Strong interpersonal skills
• Accuracy, attention to detail, and time management skills
• Ability to work independently
• Ability to perform billing and follow-up activities in a prompt and accurate manner
• Must be comfortable operating in a collaborative, shared leadership environment
• Must possess a personal presence characterized by honesty, integrity, and caring.
Benefits:
Apply Now
Apply Now