Job Summary
The role involves overseeing designated accounts to guarantee precise and prompt billing, collections, payment entries, adjustments, and resolving payment discrepancies. The individual will manage communications with payers and patients, handle appeals, conduct account evaluations, and facilitate referrals while recognizing ongoing issues and providing guidance to team members.
Responsibilities
- Oversee assigned accounts to ensure accuracy and timeliness in billing and collections.
- Coordinate payment posting and make necessary adjustments.
- Resolve discrepancies in payments effectively.
- Manage communications with both payers and patients.
- Handle appeals and perform thorough account reviews.
- Facilitate referrals and identify reoccurring issues.
- Provide mentorship and support to staff members.
Qualifications
- Minimum of one year of experience in claims, billing, or collections.
- At least four years of experience in a business office environment.
- A bachelor’s degree or an equivalent combination of education and experience.
- Strong skills in communication, organization, and problem-solving.
- Ability to maintain confidentiality and proficiency in computer skills.
- Preferred experience in medical billing or collections, with familiarity in ICD-9, CPT-4, HCPCS, and payer guidelines.
