USA
Division/ Department: Billing
Oversees and/or performs all tasks related to medical billing for specific clients. Coordinates work flow and communication between the client and Pettigrew. Monitors offshore resources for productivity and quality assurance.
- Processes billings to third party carriers and patients; maintain supporting documentation files via online archive (scans)
- Use online tools to verify eligibility to ensure a “clean” claim
- Accesses client EMR to capture charges and payments if applicable; maintain ADT interface for clients if applicable.
- Keys data and/or uploads to offshore resources: manual and/or automated transactions and verifies accuracy of input by balancing to both charge and deposit reports on a daily basis
- Research and respond by telephone and in writing to client and patient inquiries regarding billing issues and problems within 24 business hours.
- Report credit balances on a monthly basis to the client; adjust balances once checks are issued and note accounts.
- Process patient payments over the phone utilizing PCI affiliated tools.
- Resolve clearinghouse rejections daily
- Manage accounts for turn over to a collection agency or adjust off to bad debt based on client preference.
- Communicates with clients and their staff on a daily basis to resolve issues or errors.
- Communicate to management any negative trends.
- Ensures strict confidentiality of patient and financial records to comply with PHI, ePHI and HIPAA
- All other tasks and duties as assigned
- Review, acceptance, and understanding of our workplace culture statement.
- The responsibilities listed in this job description are general descriptions of work assigned, duties and responsibilities may not be limited to just these responsibilities.
- Knowledge of Microsoft Office, Outlook, Google Suites, Data Entry skills; knowledge of paperless processes
- Ability to interact and communicate with people over the telephone, often in stressful situations
- Ability to communicate effectively, both orally and in writing
- Ability to gather data, compile information, and prepare reports
- Ability to use independent judgment and to manage and impart confidential information
- Records maintenance skills; both manual and scanned documents
- Knowledge of medical insurance claims procedures and documentation
- GED or high school diploma required; associate’s or bachelor’s degree preferred
- at least 3-5 years of business experience with an emphasis on the medical field; banking/financial institution experience a plus
