Remote Position Conducts such activities as account investigation, follow-up and collections on unusual and complex accounts. Serves as lead worker and trainer for junior level staff; and other duties as assigned.
EDUCATION and/or EXPERIENCE
- High school diploma or general education degree (GED) preferred
- Three or more years of experience in a medical billing office
- General understanding and application of basic accounting principles
- PC proficiency
- Knowledge of GE, EPIC or similar computerized billing system
- Knowledge of payers
- Knowledge of ICD-10 and CPT coding preferred
- Understanding of: FSC's and paycodes used in GE system, contractual requirements for the job; importance of compliance with all government regulations regarding billing
ESSENTIAL JOB FUNCTIONS
1. Serves as lead worker and trainer for junior level staff.
2. Enters charges accurately and timely, ensures charges are balanced and reconciled within department guidelines.
3. Reconciles posted and edited payments against the ERA (Electronic Remittance Advice).
4. Manually posts payments, contractual adjustments and rejections from EOB's.
5. Reconciles deposits against bank statements and major vendors, Balance GE/IDX daily.
6. Breakdown of deposits by payer or FSC.
7. Reviews and resolve credit balance if refunds or contractual adjustments are needed, or charge correction performed.
8. Performs AR follow up on rejected claims.
9. Performs consistent follow up on open invoices by insurance class utilizing PCS or ATB.
10. Resolves BAR edits within department guidelines.
11. Resolves TES edits within department guidelines.
12. Resolves E-commerce edits within department guidelines.