Billing Representative

Doylestown Health - Doylestown, PA

Full-time

Doylestown, PA

About the position

The Billing Representative position at Doylestown Health involves managing and supporting the financial functions of the DH Physician Billing department. This role is crucial for ensuring the accuracy of billing processes, handling accounts receivable, and addressing reimbursement issues with insurance contracts. The representative will also be responsible for entering insurance data, submitting claims, and providing education to front-end operations.

Responsibilities

• Support and analyze routine financial functions including billing and accounts receivable.
• Ensure accuracy of all submitted charges for physicians on a daily basis.
• Post provider services using CPT, HCPCS, ICD9/10 codes with applicable modifiers.
• Analyze reimbursement issues and insurance contracts.
• Enter insurance data and prepare claims for submission to 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.
• Perform other duties as assigned.

Requirements

• High school diploma or GED required.
• Familiarity with computer data entry, coding, and billing procedures.
• Work experience in healthcare, preferably in a medical office setting.
• Excellent organizational skills and attention to detail.
• 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.