Billing Representative

JOB OVERVIEW: The Billing Charge Entry Representative will be responsible for ensuring that all charges are correctly entered into the system and the correct party receives the claim/bill for the charge.

RESPONSIBILITES AND DUTIES:

• Review all office and hospital charges entered into the system daily for the day prior as submitted by the providers.
• Correct diagnosis code, modifiers and procedure code issues while working directly with the provider to ensure accuracy.
• Review demographics and insurance or responsible party information for accuracy and to verify information is current.
• Complete billing of all sleep studies completed as submitted by Sleep Manager on a weekly basis.
• Complete billing of all DME rentals, purchases and supplied as charges are provided by Sleep Manager. Add rentals and purchases to tracking spreadsheet.
• Weekly do an open review of charges that may have been finalized by providers since initial review of charges.
• Monthly advise providers of any charges that are still outstanding or contained issues that will require the provider to resolve in order to complete charge entry.
• Advise department supervisor of trends or issues related to claims.
• Review rejected charges daily from the clearing house and correct related issues to the rejection.
• Work with hospital representative to obtain demographics and insurance authorizations for mutual patients.
• Assist with calls to the Billing Department to assist patients with making payments, setting up payment arrangements, resolving questions regarding balances.
• Assist with calls to insurance companies to resolve denied claims.
• Ensure compliance with medical coding policies and guidelines.
• Abide by HIPAAA and other regulatory compliance guidelines.
• Participate in cross-training other staff on duties related to position.
• Engage in cross-training with other practice positions in the organization.
• Perform other duties as required.

QUALIFICATIONS:

• High school diploma, Associate or Bachelor degree preferred
• Three years Medical billing experience preferred
• CPC, CCS certification from AAPC or AHIMA
• Continuing education obtained as needed to perform duties
• Excellent computer skills to include windows-based applications
• Outstanding organizational skills and accuracy in data entry
• Strong problem-solving skills
• Ability to understand and implement verbal and written instructions

PHYSICAL DEMAND AND WORK ENRVIONMENT:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or finger, handle, or feel objects, tools, or controls. The employee is occasionally required to stand; walk; sit; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus. The noise level in the work environment is usually moderate.

Respiratory Consultants of Georgia is committed to creating an inclusive environment for all employees. We are an equal opportunity employer and will make reasonable accommodations for qualified individuals.

Salary : $17 - $22