POSITION SUMMARY

Accurately inputs information into the billing system, inputs and verifies all charges, processes insurance claims and billing by obtaining background information and planning to obtain monies owed. Works closely with other departments monitoring workflows and charge processes for accurate and timely billing.

EDUCATION REQUIREMENTS

• Minimum high school diploma or equivalent.
• Previous experience in Hospital Business Office preferred.
• Computer and keyboard experience necessary
• Experience in filing insurance and/or accounting helpful.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED

• None

MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES)

• Ability to project a professional image.
• Dependability and punctuality is a must
• Working knowledge and ability to apply professional standards of practice in job situations.
• Strong organizational and analytical skills
• Working knowledge of personal computer and software applications used in job functions.
• Persons who have been found guilty by a court of law of abusing, neglecting, or mistreating individuals in a health care related setting are ineligible for employment in this position.
• Freedom from illegal use of drugs
• Freedom from use of and effects of use of drugs and alcohol in the workplace
• Basic computer skills using Microsoft Word and Excel
• Ability to use independent judgment and import confidential information.
• Must have excellent oral and written communication skills.
• Must have the ability to identify and work to solve problems as they arise.

ESSENTIAL DUTIES AND JOB RESPONSIBILITES

The essential functions include, but are not limited to the following:

• To perform this job successfully, an individual must be able to perform each key function satisfactorily.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions.
• Reviewing patient bills for accuracy and completeness and obtaining any missing information.
• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claims processing.
• Reviewing accounts for insurance of patient follow-up.
• Setting up patient payment plans.
• Ensures all Accuracy and appropriate delegation of charges ie. Medicare, ETC.
• Assist Revenue Cycle Manger with daily Responsibilities.
• Prepares and monitors daily charge reports and distributes to Departments.
• Backup on Oversight and Monitoring of Registration workflow
• Assist Registration and Medical Records as needed.
• Answers all patient Phone calls, takes Credit card payments over the phone and relays all patient bill concerns to the Revenue Cycle Manager
• Answers the door for all patients and vendors and screens and directs them where they need to be.
• Other duties as assigned. The preceding list of essential functions is not exhaustive and may be supplemented.

ADDITIONAL RESPONSIBILITIES

• Responsible for the receipt, scanning, indexing of medical record documents into the hospital’s electronic health record (HER) in a timely and accurate manner.
• Assist with (ROI) and the coordination of medical information to all requesters, ensuring the validity and authorization of the request.
• Maintains patient confidence and protects hospital operations by keeping information confidential, following release-of-information protocols.
• Support the hospital’s goals and objectives.
• Answers calls from hospital Main Line
• Assist with answering requests from patients that are presented at the front window.
• Scanning- ER, Labs, X-Rays, EKG Reports

POSITION QUALIFICATIONS :

INTERPERSONAL SKILLS

• Demonstrates active listening techniques.
• Gains support through effective relationships.
• Treats others with dignity and respect; seeks feedback.
• Demonstrates honesty and integrity at all times in care and use of patient and hospital property.
• Demonstrates and understands the importance of and respect for the rights, dignity and individuality of each patient in all interactions.
• Demonstrates respect for co-workers and responds to the needs of patients by complying with hospital policies.

REASONING ABILITY

• Ability to apply common sense understanding to carry out instruction furnished in written, oral and/or diagram form.
• Ability to define and solve problems, collects data, establish facts and draw valid conclusions.
• Ability to interpret an extensive variety of technical instructions in statistical or diagram form and deal with several abstract and concrete variables.

LANGUAGE SKILLS

• English is the primary language of the Hospital.
• Ability to interpret reports, business correspondence, and policy/procedure manuals.
• Ability to effectively present information and respond to questions from groups of managers, physicians, clients, customers, employees, and the public.

MATHEMATICAL SKILLS

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions and decimals.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to work inside a clean, well-lit, and well-ventilated laboratory. While performing the duties of this position, the incumbent is regularly required to talk or hear. The employee frequently is required to use hands or finger, handle, or feel objects, tools or controls. The employee is occasionally required to stand; walk; sit; reach with hands and arms; climb or balance; and stoop, kneel, crouch or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision and the ability to adjust focus. The noise level in the work environment is usually moderate. The employee may be exposed to some hazards such as radiation, bodily fluids that may contain disease, and fumes from laboratory chemicals.