What are the responsibilities and job description for the Biller position at Western Missouri Medical Center?
Description
PURPOSE STATEMENT
This position is responsible for account resolution of assigned accounts once they have final billed until the balance becomes self-pay.
Essential Functions
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS
PURPOSE STATEMENT
This position is responsible for account resolution of assigned accounts once they have final billed until the balance becomes self-pay.
Essential Functions
- Use AIDET when greeting patients/customers either on the phone or in person.
- Assist patients/customers with the concerns and questions on all bills from WMMC and WMMC clinics, as assigned.
- Trend claim denials, advises supervisor of trends in order to improve processes with the department.
- Follow up on denials aggressively with focus on AR reduction. Initial and subsequent follow up should be based on payer turnaround time and contract requirements.
- Complete the following duties daily, process late charges, correct claim rejections and maintain AR within current HARA benchmarks.
- Demonstrates the ability to maintain the responsible AR with no more than 30% over 90 days.
- All messages left before 330PM Monday through Friday must be returned with 2 hours.
- Handle inquiries from patients/customers as needed after identification has been verified.
- Assist co-workers as needed/requested.
- Maintain a positive rapport with all customers.
- Appropriately handles telephone and email communications.
- Support the Medical Center’s Mission/Vision/Philosophy positively.
- Maintain regular and predictable attendance.
- Perform other essential duties as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS
- High school diploma or equivalent.
- Previous medical billing/coding experience required.
- Good understanding of medical insurance billing/coding.
- Must be self-motivated and have the ability to work within the established policies, procedures and practices prescribed by the hospital/clinic.
- Must be able to sit and stand, intermittent 8 to 10 hours a day.
- Must be able to use standard office equipment, including the telephone and computer keyboard.
- Continuously works under pressure of near 100% accuracy while meeting inflexible deadlines.
- Continuously utilizes manual/bi-manual dexterity, near vision, speech, and hearing.
- Frequently stands, walks, sits and utilizes eye/hand coordination and color definition.
- Occasionally reaches above shoulder, regularly required to life and/or carry up to 40 lbs.
- Occasionally walks on uneven surfaces.
- Ability to travel 1% of the time, including flying and driving rental cars.
- To accommodate travel, must be able to transport own suitcases and portable computer estimated at 25 pounds.
