What are the responsibilities and job description for the BILLING SPECIALIST position at CLARA BARTON HOSPITAL?
PURPOSE
Ensure compliance of philosophy, policies, procedures, and goals of the Clara Barton Hospital. Will cross-train to be able to perform work in patient billing and collections.
ESSENTIAL FUNCTIONS:
- Checks to ensure that all necessary information for proper billing is recorded in patient files. Talks to patients as necessary regarding account information
- Prepare claims to submit to both primary and secondary insurance companies for payment on patient accounts.
- Transmits claims electronically to Medicare, Medicaid, Blue Cross and NEIC carriers daily
- Contacts insurance companies in effort to collect submitted patient claims
- Resubmits any information required by insurance companies in order to process claims
- Makes adjustments to the computer classification of claims to most accurately reflect the expected pay source
- Meets monthly cash collection/AR day goals.
- Attends annual in-services and updates staff development records accordingly
- Attends ACE meetings as they apply to job and/or mandatory CBH meetings as needed
- Responsible to resubmit unpaid claims on aging reports and work to meet the department aging goals
- Processes accuracy of insurance payments
- Performs other tasks as may be assigned
WORKING CONDITIONS:
Physical:
Position requires manual dexterity for operating standard office equipment. Must be able to operate video display terminal and sit for long periods. Must have excellent verbal communication skills for representing the Rural Health Clinic and Clara Barton Hospital to staff, patients, and the public.
Mental/Visual:
Position requires the ability to maintain concentration and attention to detail for long periods of time in order to maintain accurate records pertaining to patient and/or account information.
Environmental:
Position functions within a normal building environment, requiring ability to adapt to periodic environmental changes, e.g., temperature, air quality, and noise.
Equipment utilized:
Daily use of standard office equipment, e.g., telephone, video display terminal, copy machine, fax machine, etc.
