Billing Account Representative

Colonial Group; Moraine, Northern (OH, KY); Hybrid; USD 38,000 - 48,000; Full time

Job summary

Colonial Group's Core Lab in Moraine, OH is seeking a Full-Time Billing Clerk to handle daily account processing, cash application, batch processing and adjustments. You will interact with patients, clients and third-party payers to ensure accurate posting and timely refunds.

The position requires strong communication, attention to detail, and the ability to work in a fast-paced, high-volume environment while complying with all regulatory policies and SOPs.

Qualifications

• High school graduate or equivalent required.
• Previous experience in medical billing environment preferred.
• Working knowledge of Medicare and other third party claims processing, ICD-10 and HCPS/CPT coding and medical terminology highly desirable.

Responsibilities

• Maintain organized workflow for efficient account processing and during absences.
• Follow department standard processes and consult supervisor with questions.
• Provide strong customer service and project a positive image of the department and organization.
• Foster teamwork within the department and organization.
• Meet or exceed department standards for quantity and quality of work.
• Apply knowledge of compliance regulations to daily duties.
• Comply with policies and procedures and maintain data as required.
• Handle additional duties and projects as assigned.
• Perform accurate order entry and communicate effectively with internal and external departments.
• Batch and post payments to patient and physician accounts; report discrepancies to the bank.
• Apply payment details to accounts including copays/deductibles and disallowances.
• Review overpayments and initiate refunds or corrections as needed.
• Understand Explanation of Benefits from payers.

Skills

Communication skills

Customer service

Attention to detail

Multi-tasking

Teamwork

Problem solving

Education

High school diploma or equivalent

Job description

Located at Core Lab (Moraine, OH)/Remote Shift Availability

Full-Time Day Shift (8:00 AM-5:00 PM)

Position Summary:

Under the supervision of the Billing Department Manager: perform the daily account processing tasks of the Billing Department including cash application, batch processing, account adjustments/refunds; Maintain positive internal and external working relationships with patients, clients and third party payers.

Essential Duties and Responsibilities as Assigned:

• Maintain organized workflow to allow efficient processing of accounts and to enable smooth transition of job duties during absences.
• Follow department standard processes. Consult with immediate supervisor when questions regarding appropriate account processing arise.
• Exhibit good customer service skills when dealing with internal and external customers. Project a positive image of the department and organization.
• Actively engage in behaviors that foster teamwork within the department and organization.
• Meet or exceed department standards for quantity and quality of work.
• Possess working knowledge of relevant compliance regulations. Effectively apply this knowledge to daily job duties.
• Comply with all departmental, company and regulatory policies and procedures.
• Maintain statistical data as required.
• Additional duties and projects as assigned.

Specific Departmental Job Duties as Assigned:

• Ability to accurately perform order entry.
• Strong communication skills needed for collaboration with both internal and external departments as well as patient/client calls.
• Batch incoming payments for posting to patient and physician accounts. Report deposit discrepancies to bank. Maintain report of posted and in-transit cash for Accounting Department.
• Apply payment detail to client and patient accounts, including contractual disallowances, and patient copays/deductibles.
• Review over payments, initiating refunds or correcting misapplied payments as appropriate.
• Knowledge of reading and understanding various payer’s Explanation of Benefits.
• Ability to handle fast paced, high call volume environment with above average multi-tasking skills.
• Process incoming patient mail and telephone inquiries accurately and in a timely fashion as outlined in the Department SOP.
• Possess strong focus on positive customer impact. Utilize verbal and written communication effectively.
• Review bankruptcy notices performing appropriate write-offs of outstanding accounts; maintain bankruptcy files.
• Research collection accounts as requested by patients or collection agencies.
• Review system error codes and make corrections to accounts.

Qualifications:

• High school graduate or equivalent required.
• Previous experience in medical billing environment preferred.
• Working knowledge of Medicare and other third party claims processing, ICD-10 and HCPS/CPT coding and medical terminology highly desirable.

Physical and Safety Demands:

• Visual acuity and hand-finger dexterity to work at computer for extended periods.
• Sit at computer work station for extended periods.
• Sound reasoning ability and independent judgment.
• Ability to work within specified deadlines and timetables.
• Excellent communication and people skills.
• Handle stressful situations in a calm manner.
• Will not have exposure to biohazard substances and hazardous chemicals.
• Be familiar with and adhere to safety, ergonomic and health policies of the Company.
• Comply with all PPE requirements when in the laboratory or other biohazard areas.
• Complete required safety training and health evaluations in a timely manner.
• Anticipate safety hazards, act upon unsafe situations and promote safety awareness.