Enrollment/Billing Representative

Job Description

Delivers straightforward administrative and/or other basic business services in Enrollment/Billing. Provides financial related support for banking and/or billing related functions to new and/or existing accounts. Sets up, manages, reconciles, processes, and/or balances bank and/or customer accounts. Works with internal/external customers, banks, vendors, and/or partners to resolve issues. May create, analyze and respond to standard and/or non-standard reports. Bills and/or collects outstanding/delinquent payments or issues payments. Audits accounts for compliance. Supports mid to large markets. Issues tend to be routine in nature. Good knowledge and understanding of Enrollment/Billing and business/operating processes and procedures.

POSITION SUMMARY

Utilizes advanced knowledge to review claims, to ensure billing accuracy, and to edit, bill and collect payment on outstanding claims while reconciling patient accounts in pursuit of reducing the company's accounts receivable and escalations. Requires complete understanding of the billing and collection processes and little supervision for routine work.

ESSENTIAL FUNCTIONS

• Prepares and reviews claims to ensure billing accuracy according to payor requirements.
• Pursues collection activities to obtain reimbursement from payors. Contacts payor to request overrides, retro authorizations, additional documentation, window extensions, etc. to ensure invoice has necessary elements for reimbursement or to work a rejected claim (denial).
• Frequent follow up with payers and/or patients on outstanding accounts.
• Responds to billing inquiries and questions relating to patient accounts.
• Frequently uses phone/email/portal communications with patients and payors

QUALIFICATIONS

• HS Degree (or equivalent).
• 1 years patient billing and collections experience
• PC Skills including Microsoft Outlook, Excel, Word and Internet
• Detail oriented and strong organizational skills.
• Self-starter and team player.
• Focus on quality and service.
• Demonstrated ability to meet multiple deadlines and manage a heavy workload.
• Integrity to handle sensitive or confidential information is critical.

ABOUT THE DEPARTMENT

If your niche is in financial reporting and analysis, underwriting, cash management, audit or investor relations, account reconciliation, or collections and billing, our Finance department may be a perfect fit for you. Our teams within Finance work together to ensure that spending stays on track and that we remain a profitable industry leader. We're always on the lookout for innovative people who will bring outside-the-box thinking to our team.