What are the responsibilities and job description for the Medical Biller - Patient Account Representative position at Acadia?
Essential Functions
- Responsible for billing all patient claims in a timely manner
- Responsible for financial assessment of patients, calculation of all TDFPS files, charges and billing, Performs QA of information on admissions, collection of deductibles when needed.
- Assist in batching of deposits.
- Completes all adjustments from TDFPS.
- Process daily day-ends for the hospital, assist in the close of the month, preparations and reporting;
- Calculates deposits for the hospital and works closely with the CFO.
- Performs log requirements for Medicaid patients.
- Assists in the documentation of correspondence.
- Business auditing of charts to assure proper billing and documentation.
- Review claims issues, make corrections as needed, and rebill. Utilize claims clearing house to review and correct claims and to resubmit electronically when available.
- Responsible for printing daily billing reports both electronic and paper claims. Monitor validation percent.
- Work daily claims rejection lists.
- Responsible for posting insurance and patient payments, contractuals, and all other adjustments.
- Review explanation of benefits to ascertain that claim processed and paid correctly. If processed incorrectly provide detail information to collector for follow up.
- Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.
- Maintain daily cash log noting any variances on a daily basis. Gathers and interprets data from the system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.
- Must have a high school diploma or GED.
- Minimum 5 years of job-related experience; with emphasis on admissions and/or collections experience in a hospital setting required; psychiatric experience preferred.
- Must have strong written and verbal skills; ability to deal effectively with all levels of hospital management and the public.
- Must be able to demonstrate average to high math skills.
- Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint.
- Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality.
- Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.
- Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level.
- Self-motivated with strong organizational skills and superior attention to detail.
- Must be able to manage multiple tasks/projects simultaneously within inflexible timeframes. Ability to adapt to frequent priority changes.
- Capable of working within established policies, procedures and practices prescribed by the organization.
