What are the responsibilities and job description for the Check Out Representative for Southeastern Spine Institute position at South Carolina Region?
Position Summary:
This is an entry-level position that works to ensure reimbursement and collections for patients' treatment expenses and keeps track of accounts receivable and billing invoices while communicating with individuals or insurance companies to obtain reimbursement.
Working Conditions:
Sitting, standing, bending, stooping, twisting, reaching overhead and lifting up to 40lbs. Manual dexterity, speech, hearing and visual acuity needed for performing duties.
Primary duties include, but are not limited to:
1. Works with insurance companies to verify patient eligibility, process patients claim, and ensure payments are received properly.
2. Assists in ensuring appropriateness of CPT-4/ICD-10 coding and determines if care provided corresponds to the charges submitted.
3. Processes charge ticket reconciliation and end of day balancing.
4. Processes co-pay insurance collection
5. May assist in identifying fraudulent non-plan billing practices and assists the legal department with litigation preparation.
Position Requirements:
1. High school diploma or equivalent
2. Experience working in a medical office
3. Experience with account ledgers
4. Must be familiar with coding ICD-10 and CPT
5. Working knowledge of Medicare, Medicaid, and commercial payers
6. Effective interpersonal skills; speaking with patients about outstanding balances and financial responsibilities.
7. Excellent verbal and written communication skills
8. Must have some experience in a practice setting and with medical terminology.
9. Ability to multi-task, self-motivated, team player, and attention to detail
Applications and platforms:
1. Allscripts
2. ExScribe EHR
3. Iverify
4. Shoretel
