Essential Functions:

• Prepare and submit clean claims to various payers either electronically or by paper.
• Handles patient inquires and answers questions from clerical staff and insurance companies.
• Identifies and resolves patient billing problems.
• Follow-up on missed payments and resolve financial discrepancies.
• Issues adjusted, corrected, and/or rebilled claims.
• Identifies and initiates refunds to patients and/or insurance companies.
• Calls and speaks with insurance companies to determine denial reasons.
• Files appeals.
• Balance patient accounts.
• Maintains patient confidentiality.

Skills Abilities:

• Ability to communicate clearly and effectively with all levels.
• Ability to perform simple mathematical equations.
• Ability to prioritize and compete multiple tasks simultaneously.
• Effective oral and written communication skills.

Working Conditions:

• Possible exposure to inside environmental conditions.
• Exposure to distressed patients, families, or visitors.

Physical Demands:

• Requires standing, sitting or walking for up to 8 hours or longer per day.
• The ability to lift up to 50 lbs.

Requirements:

• High School graduate or equivalent.

Preferred Requirements:

• 2+ years of experience.
• Previous experience in billing.
• Knowledge of medical terminology and familiarity with medical diagnostic procedures.