Reports To: Billing Manager
Employee Status: Non-Exempt (Regarding Overtime)
Position Summary: Under general supervision, but in line with established PC&HC policies and procedures, provide a variety of service functions.
Essential Functions
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Represent PC&HC to the patients/customers in a courteous and professional manner. Provide prompt, efficient and accurate service.
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Perform insurance/billing clerical duties, including review and verification of patient account information against insurance program specifications.
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Resolve routine patient billing inquiries and problems.
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Follow up on balances due from insurance companies and patients.
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Enter data electronically to process charges, payments, denials and adjustments with practice requirements.
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Send monthly statements to patients with outstanding balances.
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Establish patient payment plans.
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Assist providers with proper coding
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Assist with insurance verification as necessary
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Assist PSR and call center with billing questions
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Work with Office Manager on front office billing issues
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Reconciliation of monthly lab and X-ray invoices
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Reconcile online payment portals with EMR daily.
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Improve the patient experience and health care processes and help assure the provision of high-quality health care, as well as an ongoing process of performance improvement.
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Plan and organize work load to maintain efficient patient operations in the Health Center.
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Maintain a strong customer focus while working collaboratively within the teams multiple demands and patient needs.
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Treat all patient information confidentially and in accordance with established guidelines.
Marginal Functions
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Prepare and upload claims for insurance companies.
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Transfer and manage all collection accounts.
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Submit monthly bad debt list to finance director.
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Balance daily payment reports and prepare daily bank deposits.
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Assist patients with patient fee waivers
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Appeal denied claims and routinely follow up on unpaid claims
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Process patient and insurance refunds
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Monthly reports and month end close process
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Perform all other duties as required or assigned.
