Medical Insurance Billing

Job Purpose: Generates revenue by making payment arrangements; collecting accounts; monitoring and pursuing delinquent accounts. Duties: * Collects delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when payment lapses occur. * Utilizes collection agencies and small claims court to collect accounts by evaluating and selecting collection agencies; determining appropriateness of pursuing legal remedies; testifying for the hospital in court cases. * Maintains medicare bad-debt cost report by tracking billings; monitoring collections; compiling information. * Initiates claims against estates by monitoring deaths and unpaid accounts; informing legal department to act on probate and estate issues; following-up with clerk of court. * Secures outstanding balance payments for care of hospital employees by establishing payroll deductions; obtaining signatures for automatic transfers, * Secures obstetrical payments by interviewing and obtaining information from pre-delivery patients; establishing payments due prior to delivery; sending monthly statements. * Maintains work operations by following policies and procedures; reporting compliance issues. * Maintains quality results by following standards. * Protects hospital's value by keeping collection information confidential. * Updates job knowledge by participating in educational opportunities. * Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and jcaho standards. * Enhances billing department and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments. Skills/Qualifications: Legal Compliance, Quality Focus, Productivity, Time Management, Organization, Attention to Detail, Documentation Skills, Analyzing Information , General Math Skills, Resolving Conflict, Litigation

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