Billing and Follow-up Representative are responsible for the compliant, accurate and timely billing and follow-up of all outpatient clinic patients.
Essential Duties and Responsibilities
Duties and responsibilities described represent the general tasks performed on a daily basis, but not limited as other tasks may be assigned. Understand how to resolve and identify Patient Accounting from Billing System.
Provide customer service both on the telephone and in the office for all patients and authorized representatives regarding patient accounts in accordance with practice protocol. Patient calls regarding accounts receivable should be returned within 2 business days to ensure maximum patient satisfaction.
Verify all demographic and insurance information in patient registration of the practice management system at the time of charge entry to ensure accuracy, provide feedback to other front office staff members and to ensure timely reimbursement.
Follow-up on all outstanding insurance claims at 60-days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability.
Follow-up on all outstanding patient account balances at 90-days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability using the A/R aged reports.
Provide information pertaining to billing, coding, managed care networks, insurance carriers and reimbursement as needed.
Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
Recommend accounts for outside collection when internal collection efforts fail in accordance with practice protocol.
Proficiency with all facets of the medical practice management system including patient registration, charge entry, insurance processing, advanced collections, reports, and ledger inquiry.
Maintain an organized, efficient and professional work environment.
Adhere to all practice policies related to OSHA, HIPAA and Medicare Compliance.
Other duties as assigned.
Summary of Other Job Duties and Expectations
Adhere to the Service Excellence Standards and Expectations at Chesapeake Regional Healthcare.
Exhibit excellent customer relations to patients, visitors, physicians, and co-workers.
Exhibit courteous communication skills and an ability to work with others, exercising good judgment in performance of job duties.
Demonstrate courtesy, compassion, and respect to others in adherence of the hospital's philosophy and policy for promoting positive work and customer environments.
Work as a team to continuously improve work quality.
Demonstrate a commitment to flexible work schedules when it is necessary.
Present self in a positive manner as reflected by personal attire and etiquette.
Attend required hospital-wide orientations, meetings, and in-services.
Supervisory Responsibilities
Reports to: Chesapeake Regional Medical Group, Centralized Business Manager
Qualifications
To perform this job successfully, an individual must have at least six months experience working directly with Physician Medical Office Accounts Receivables.
Education and Experience
High school diploma or GED is required. A college degree is preferred.