Medical Biller Collections I (019)

4 days ago
Requisition ID
2017-5450
US-MI-Cascade Township
Service Line
Hope Network-Leadership Center
# of Openings
5
Category
Finance
Shift
1st
Hours per Week
40
Position Type
Regular Full-Time
Department : Name
Revenue Management

Overview

The Medical Biller Collections a key associate at Hope Network whose primary responsibilities include: provides billing and collection services. This position needs a working knowledge and experience billing auto, BCBS, commercial insurance, Medicaid, workers compensation, private payers, and third party insurance companies & Community Mental Health payers.  

Summary

Essential Functions:

  • Regular and predictable attendance is an essential requirement of this position.
  • Bill services, review explanations of benefits from insurance companies, and follow up on all unpaid balances. Write up account adjustments for approval. Review overpayments and refund accordingly. Maintain a collection age status log.
  • Maintain a working knowledge of computerized billing program. Produce month end statements and claims. Ensure proper documentation is sent with each claim. Produce end of month financial reports.
  • Utilize specific knowledge regarding billing and reimbursement guidelines to expedite payment for services.
  • Provide on-site assistance to staff from all locations with collections.
  • Utilize systems and procedures to organize the billing office for maximum efficiencies.
  • Assure that computer system procedures including, but not limited to, end of day reconciliations and report printing are completed.
  • Works all outstanding accounts over 60 days old for collectability.
  • Mail collection letters to guardians, provide follow-up to site/home managers regarding funds and the collection status of money owed.
  • Post all payments, refunds and adjustments for funding sources assigned.
  • Complete all other designated projects relevant to position description.

Requirements

Educational / Talent Requirements:

  • High school diploma or equivalent is required.
  • Bachelor’s degree in a related field; Business, Finance is preferred.
  • Demonstrated ability to communicate in both written and verbal format to meet position responsibilities.
  • Demonstrated ability to use word processing, spreadsheet and computerized billing programs including Word/Excel.
  • Data entry skills equivalent to typing skills at 40 words per minute.
  • Familiarity with other office equipment such as calculators, fax and photocopying equipment.
  • Demonstrated organizational skills, attention to detail.
  • Ability to plan, organize and prioritize work on a daily basis.

 

Work Experience Requirements:

  • 2 – 4 years prior work experience in a medical billing and/or accounting position.
  • Experience in collections, accounts receivable, data processing and total business office procedures.
  • Demonstrated knowledge of medical billing and reimbursement.
  • Demonstrated knowledge in the accounts receivable monitoring process (aging of accounts 0-30, 30-60, 60-90 days).
  • Ability to interact effectively with individuals, employees, referral sources, vendors and other designated individuals.
  • Ability to travel to other Hope Network sites when needed and requested; valid Michigan driver’s license with acceptable driving record.

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