Job: Biller Patient Accounting - Patient Accounting

Department: Patient Accounting

Schedule: Full Time

Shift: Days

Hours: Mon-Fri 8 hrs per day

Salary: 12.43-18.18


Job Details:
Formal Education beyond HS at a Technical or Trade School
1 year of experience required


DUTIES & RESPONSIBILITIES

Maintains knowledge and understanding of billing/compliance requirements for assigned Billing area (Federal & State for UB92, HCFA 1500, Medicare, Third Party Payers, Managed Care, Workers Compensation, and/or Client Contracts).
Completes all billable claims to appropriate assigned payers on a daily basis (Electronic and/or manual to Medicare, Medicare Secondary, Medicare SNF, Medicaid, Third Party Payers, Managed Care, Workers Compensation, and/or Client Contracts).
Completes Meditech/LSS reminders within 7 business days of receipt.
Maintains productivity benchmarks according to department goals. * Monitors and completes billing denials, vouchers, re-bills, correspondence within 7 business days of receipt.
Maintains assigned Aged Trail Balances according to Department Goals.
* No more than 5 documented unjustified Timely Filing Write-offs, pr fiscal year.
* Maintains knowledge and education of assigned Billing Software, i.e., S&S Datalink, LSS, Meditech.
* Completes other duties, as assigned.
* Works Medicare On-Line adjustments/ADR's, etc., no less than once per week.
Occupational Health/Work Comp Biller-Specific Duties: * Maintains and pulls all specific Refund Documentation for Workers Comp Insurances.
Medicare Secondary Biller-Specific Job Duties: * Completes secondary billing for Medicare Vouchers within 15 working days of receipt of voucher. * Notifies appropriate Medicare biller of Non-Covered & total Claim denials within 15 days of Receipt of Denial.
Client Biller/Refund - Specific Job Duties: * Maintains Client dictionaries within Meditech. * Completes monthly Client billing process as each month end. * Works Credit Balance reports for specific assigned payers and request necessary refunds to patients or payers. * Prepares Client cash batches for Cashiers, as necessary. * Maintains department/client relationships relating to Client billing issues. Attends meetings, as applicable.
Pre Biller - Specific Job Duties: * Charge Errors corrected within 5 business days of receipt of notification from Department and/or Bill date. * Daily Operations Process completed according to procedure. (Notification to Supervisor and Billers by 9am if unable to complete). * Completes Special Assignments within required deadlines. * Prints, Sorts, and distributes all Billable Claims/bills to assigned Billers daily. * Late charges logged daily by department, and monthly report to Department Director by 10th of each month. * Transmits claim files daily to Medical Necessity Software Vendor, and result files distributed to appropriate parties.


JOB REQUIREMENTS
The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education: Up to 3 months beyond HS
Experience: Greater than 1 year
License / Certification / Registration NONE
Working Environment: Works in a well lit, heated and ventilated area. Position requires considerable mobility throughout the facilities. Potential exposure to routine, communicable diseases through regular contact with employees and the public at large.