Billing Account Specialist

UnityPoint Health Information

UnityPoint at Home

Billing Account Specialist

Des Moines, IA (remote opportunites available)

Monday- Friday, 8AM-5PM

Full-time benefits

Billing Account Specialists manage the claims process, including accurate and timely claim creation and insurance correspondence. The position assists with clarification and development of process improvements, assure payments related to service provided are recorded and reconciled timely to maximize revenue.

Quality Assurance

• Performs the review and confirmation of work orders prior to billing, by verifying accuracy of order and required documentation such as prescriptions, certificates of medical necessity, prior authorizations, diagnosis and procedure codes.
• Monitors the confirmation work queue to ensure timely confirmation of work orders.
• Track incomplete information and communicate feedback to management and intake staff.

Billing Administration

• Works accounts receivable aging reports performing follow up in accordance with policies and procedures.
• Generates and processes statements and claim forms in an accurate and timely manner. Obtains, verifies and maintains customer demographics and insurance information for billing purposes.
• Works to resolve carrier denials and correspondence for proper payment of claims.
• Shares responsibility through timely communication of identified problems to assure proper follow up is completed to expedite clams and ensure proper payment.
• Identifies potential discrepancies in claims payment processing.
• Answers questions and resolves problems related to billing operations.
• Provides clear documentation of all communication related to accounts in account or claim notes.
• Reviews credit balance accounts on a monthly basis.
• Prepares appropriate paperwork when refunds are warranted, based on history of account and contractual agreements; forward to Lead Billing Account Specialist for approval and processing.
• Assists clients with questions, payments and account resolution.
• Makes payment arrangements and process statements and take collection measures when necessary.
• Maintains current knowledge of carrier specific requirements by attending workshops, reading newsletters and acting as liaison in carrier meetings.
• Provides communication and teaching to Billing Account Specialists, Payment Posting Specialist and Billing Records Technician.

Customer Excellence

• Informs client of their estimated financial responsibility over the phone and at the time of service per established protocol.
• Completes and reviews applicable out of pocket paperwork with client at the time of service.
• Applies client credit card to account and monitor recurring payments to ensure accurate payments are taken.
• Monitors client rentals for timely convert to sale of medical equipment.
• Generates and processes final payment letter to provide client with the final amount due on account.

Education:

• High School or Vocational School graduate
• All staff are expected to participate in appropriate continuing education as may be requested and/or required by their immediate manager. In addition, staff are expected to accept personal responsibility for other educational activities to enhance job-related skills and abilities. All staff must attend mandatory educational programs.

Experience Preferred:

• Proficient in Microsoft office software.
• Previous medical office experience.
• Familiar with billing codes i.e., HCPCS, Revenue, CPT Coding, Diagnosis Coding, etc.

Skills/Abilities

• Strong interpersonal skills.
• Ability to work independently or as part of a team.
• Ability to understand and apply guidelines, policies and procedures.

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