About the position
The position involves assisting in the financial and administrative operations of the Physician Billing Program. The primary focus is on supporting all phases of the revenue cycle for Physician Billing, which includes charge entry, payment posting, accounts receivable follow-up, and payer communication and education. The role requires the utilization of daily system reports to identify unpaid claims, contact payers, and adhere to payer regulations for rebilling or providing additional information as necessary. Essential functions of the job include ongoing support and analysis of routine financial functions within the department, such as billing, accounts receivable, aging reports, and productivity metrics. The individual will be responsible for ensuring the accuracy of all submitted charges for physicians on a daily basis. This involves posting provider services using appropriate coding systems including CPT, HCPCS, and ICD9/10, along with applicable modifiers. Additionally, the role entails ongoing financial support and analysis of reimbursement issues and insurance contracts. The position also requires entering insurance data, preparing and submitting claims to all insurance companies and patients, receiving remittance lists from insurance companies, identifying payments and denials, applying payments to patient records from all sources, and investigating and following up on denied claims. The individual will provide education and feedback to front-end operations and assist in facilitating office communication and guest/human relations. Other duties may be assigned as needed.
Responsibilities
- Assist in the financial and administrative operations of the Physician Billing Program.
- Support all phases of the revenue cycle for Physician Billing including charge entry, payment posting, accounts receivable follow-up, and payer communication.
- Utilize daily system reports to identify unpaid claims and contact payers.
- Follow payer regulations to rebill or send additional information as necessary.
- Provide ongoing support and analysis of routine financial functions including billing, accounts receivable, aging reports, and productivity.
- Ensure accuracy of all submitted charges for physicians on a daily basis.
- Post provider services utilizing CPT, HCPCS, ICD9/10 with applicable modifiers.
- Provide financial support and analysis of reimbursement issues and insurance contracts.
- Enter insurance data and prepare and submit claims to all insurance companies and patients.
- Receive remittance lists from insurance companies, identify payments and denials, and apply payments to patient records.
- Investigate and follow up on denied claims.
- Provide education and feedback to front-end operations.
- Facilitate office communication and guest/human relations.
Requirements
- High school graduate.
- Familiarity with computer data entry, coding, and billing procedures.
- Work experience in healthcare, preferably in a medical office setting.
- Excellent organizational skills and detail-focused.
- Expertise in reimbursement analysis.
- Effective communication skills.
- Good mathematical, grammatical, and communication skills.
- Good typing ability.
- Tact and diplomacy in handling patient inquiries, physicians, and associates.
