Billing and Follow-Up Representative, Medical Billing Follow-up – Commercial Payors
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Job Description
Billing and Follow-Up Representative handling day-to-day billing and follow-up activities for assigned Patient Business Services location. Providing support and training to colleagues while ensuring accurate billing processes.
Responsibilities:
- 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.
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