What are the responsibilities and job description for the PFS Billing Specialist position at Gibson Area Hospital & Health Services?
General Summary
The CBO Representative is responsible for accurate and timely billing and follow-up of all claims to ensure prompt payment from all payers. This would include all communication and research regarding patient accounts with all departments involved.
GIBSON AREA HOSPITAL & HEALTH SERVICES MISSION STATEMENT
To provide personalized, professional healthcare services to the residents of the Communities we serve.
Principle Duties And Responsibilities
The CBO Representative is responsible for accurate and timely billing and follow-up of all claims to ensure prompt payment from all payers. This would include all communication and research regarding patient accounts with all departments involved.
GIBSON AREA HOSPITAL & HEALTH SERVICES MISSION STATEMENT
To provide personalized, professional healthcare services to the residents of the Communities we serve.
Principle Duties And Responsibilities
- Run required daily reports for preparation of billing follow-up of patient accounts with all Medicare, Medicaid, Blue Cross, Commercial and all third parties.
- Make Outgoing & Receive incoming calls and answer inquiries from patients, insurance companies and all other parties regarding the status and billing questions concerning claims.
- Ensures appropriate, accurate/timely follow-up to all insurance companies based on established policies and procedures.
- Review patient account information received from admissions and out patient registration. Identify any missing information and determine what avenue to take to insure timely follow-up.
- Adequately responds to billing questions and provide clarification to customers.
- Develops and maintains appropriate communication with insurance payers, outside agencies and internal departments.
- Appropriately refers all non-routine issues to management for clarification.
- Accountable for updating and preparing correspondence to customers and insurance payers as necessary.
- Effectively communicate to customers needs with the appropriate level of
- Process and scan all EOB’s/Correspondence received within 2 business days.
- Re-bill and reprocess all Denials and Rejections ensuring all avenues are explored to resolve and issues with Insurance Payers.
- Take incoming calls from patients regarding their insurance and billing.
- Process all walk-ins
- Resolution of Credit Balance reports Monthly.
- Ability to work with fellow staff in a professional, courteous and respectful manner at all times.
- All other duties assigned by Director of PFS or Executive Director of Revenue Cycle.
- Work the denial program daily.
Salary : $16 - $22
