Hospital Patient Billing CSR

Under direction of department leadership, it provides a high level of customer service to our patients in regards to patient billing issues and all of the support necessary to facilitate the Patient Account process, which may include updating patient demographics and insurance information, insurance verification, insurance payments, patient payment, third party vendors, and billing inquiry functions. Interface with multiple departments in a team environment. Utilizing critical thinking and analytical skills to effectively resolve complex patient account and billing issues.  Responsible for the accurate collection of data and documentation.  Ability to interact well with the public, engage in conflict resolution while handling complex patient billing issues, while maintaining a high level of professionalism and quality customer

Essential Duties and Responsibilities

• Receive and respond to inquiries via phone, writing, or in-person and include complete reviews of accounts in question for pertinent billing, insurance, and collection information.
• Reviews Tax Debt Set-Off matches for accuracy and verification of debt and prepares and mails letters to patients
• Serves as a direct patient contact for the Tax Debt Set-off program
• Make necessary revisions on accounts in question, such as adding insurance and other patient demographic information, plan codes, changing FCs, performing balance transfers, sending hard copies to Imaging, and routing account information to other Patient Accounts billing units for further development
• Document customer inquiries/concerns in a precise, complete, and accurate manner
• Recognize important customer services issues and inform the Billing Manager in a timely fashion
• Practice problem recognition and resolution; identify the root causes of inadequacies and participate in quality assurance programs to improve job performance and department efficiency.
• Process assigned insurance refunds and MAMSI and Anthem denials
• Handle all physician billing and special programs such as Champus, Tricare and Employee Health
• Monitor and work on assigned special projects and reports
• Maintain USPS rejects and Document Imaging
• Handles all patient correspondence
• Monitor missing cash in the unapplied cash account
• Knowledge of medical terminology, ICD-10, CPT-4 and HCPC coding
• Working knowledge of UB 04 and 1500 claim forms
• Process attorney requests and correspondence
• Maintains and processes bankruptcy and decease accounts appropriately and according to law

Qualifications

To perform this job successfully, an individual must have direct working knowledge of hospital patient billing  and be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and Experience

Minimum Required Education: High school diploma

Preferred Education: College courses or associates degree

Experience: 3 years in hospital billing and working knowledge of third party payer regulations

Preferred: Epic HB Experience

Preferred:  Bilingual skills

Certificates, Licenses, Registrations

There are no certifications/licensures required for this position.

Preferred CRCS AAHAM