This employee ensures that all assigned reviews and company projects are completed timely and accurately according to the scope of work. They will report any issues and/or concerns timely to the Supervisor of the Centralized Billing Review team and/or Manager of the Centralized Billing Review team.
JOB FUNCTIONS
- Contacts payors at times to discuss policy criteria or to ask clarifying questions on accounts
- Understands payor requirements according to their policies
- Ensures completion of all forms and collects complete billing information
- Pursues, maintains, and communicates medical coverage/guideline changes/updates
- Verifies insurance benefits and eligibility for patients
- Communicates with patients to resolve billing issues and ensures timely payment
- Maintains accurate and up-to-date patient records in compliance with HIPAA regulations
- Works assigned reports accurately and timely
- Helps facilitate interoffice communication on payor updates and trends
- Completes any adjustments/transfers of AR as required
- Documents all activity in customer's computer account or applicable applications
- Answers billing review specialist questions accordingly
- Reports issues and/or concerns in a timely manner
- Available to assist other billing review specialists on the team with questions or needs
- Acts as liaison between staff and management
Requirements:
Education
- High School Diploma or General Education Degree (GED) Required
Knowledge, Skills, and Abilities
- Past performance shows solid evidence of insurance qualifications and guidelines
- telephone etiquette and adequate oral and written communication
- Shows effective multitasking
- Positive and cooperative attitude in working and communicating with individuals at all levels of the organization
- medical field experience preferred
