What are the responsibilities and job description for the Billing Administrator position at ABHS?
Position Title:
BILLING ADMINISTRATOR
Reports to:
BILLING MANAGER
Department:
BILLING
Date:
4/2/2024
Category:
NON-EXEMPT / HOURLY
Revised:
General Description
The Billing Administrator will manage accounts receivable billing and collection of payments for all designated payers at designated locations, making sure payments are reconciled in a timely and accurate manner.
Tasks & Responsibilities
A. Essential Duties
- Responsible for processing and posting incoming payments, reconciling receipts, and adjusting patient accounts.
- Resolves denials, produces secondary claims, and appeals against payment discrepancies.
- Conducts 835 electronic payment matching. Resolves payments with missing EOB.
- Analyze EOB information, including co-pays, deductibles, co-insurance, contractual adjustments, denials and more. Rework claims and resubmit as needed.
- Contact patients, insurance, or third-party administrators when clarification of information is needed to successfully post payment.
- Works on recoupment accounts to settle.
- Demonstrates a high degree of accuracy and analytical skills
- Ability to multitask and manage time effectively.
- Comply with all legal and regulatory policies and procedures.
B. Additional Duties
- Assists and covers other staff when necessary to maintain high productivity and efficiency in the department.
- As the company continues to grow, additional responsibilities that are essential for the department to be successful will be assigned accordingly.
C. Interpersonal Relations
- Create Meaningful Connections: Demonstrates ability to function effectively as a part of team. Uses outstanding oral and written communication with employees at all levels of the business for support and sharing of information.
- Take Accountability: Take constructive feedback and prevent discourse among our peers.
- Live in the Solution: Critically thinking should be the solution when problems arise. Having the ability to accepts constructive criticism well in an open and non-defensive manner.
- Be Professional: Wear business casual attire (please see dress code policy).
Competencies
- Adaptability
- Customer Service
- Decision Making
- Dependability
- Ethics
- Interpersonal Skills
- Job Knowledge
- Conflict Management
- Organization Skills
- Productivity
- Self-Development
- Teamwork
Performance Standards & Measurement
- Compliance with essential and incidental duties; compliance with company policies and procedures.
- Compliance with state and federal laws and regulations applicable to the business.
Equipment, Tools & Machines
- Use of computer, telephone, and other office equipment such as a printer and fax.
- Use of company network and email domain.
Working Conditions
- Air conditioned and well-illuminated office environment and outdoor environment.
- May have several responsibilities at once. Interaction with other is constant and can be interruptive.
- Work may be stressful at times due to high level workflow.
- Availability to work flexible hours including weekends, holidays, and evenings as is required to comply with the purpose of the job and accommodate client needs.
- Participates in educational training, orientations, or compliance programs as needed to maintain competency.
- If you must leave your employment with our company, we request employee’s to give us at least 14 days resignation notice in writing.
Demands
- Enthusiastic self-starter operating with sustained energy and showing great initiative.
- Comfort working with a diverse base of support, including members, employers, providers, colleagues, community leaders, volunteers, non-profit organizations, vendors, etc.
- Excellent interpersonal and communication skills, including ability to read, write, spell in English legibly and without excessive grammatical or communication errors.
- Talk and hear both by person and by telephone; ability to speak clearly and effectively using proper grammar before patients, employees and business partners, among others.
- Excellent organizational skills.
- Accepts constructive criticism well in an open and non-defensive manner.
- Ability to manage conflicting priorities. Ability to maintain a positive work ethic and a congenial attitude in the face of a high-pressure environment.
- Ability to function independently and with flexibility.
- Ability to work under pressure, handle multiple tasks and interruptions.
- Occasional lifting of moderately heavy office supplies; ability to lift supplies for community events, trade shows, conferences, and other marketing opportunities applicable to the organization; ability to lift, push or pull up to 25lbs.
- Ability to sit, stand, or walk for extended periods of time.
- Must have strong computer skills to meet Microsoft Office and Electronic Health Record software requirements.
Qualifications
Education:
- High School Diploma or equivalent
Experience:
- Experience in medical field is highly desirable.
- Computer literate: Microsoft Office (Excel, Word, and PowerPoint) required.
