Billing Office Representative

Graystone Ophthalmology Associates Pa; Hickory (NC); Presencial; USD 28 000 - 39 000; Tempo integral

Resumo da oferta

Graystone Ophthalmology Associates Pa is seeking a Business Office Billing Representative to support follow-up on insurance payments, patient payments, denials, refunds, and payment plan setups. You will post checks and credit card payments, record denials with accurate reason codes, and adjust write-offs as needed.

Daily duties include handling patient inquiries about billing, monitoring the billing queue and portals, and coordinating with clinical and front office staff to obtain necessary

Qualificações

• Associate degree preferred; 1-year certificate or 3+ years related experience.
• Knowledge of medical insurance; strong communication and organizational skills.
• Proficient with most software applications.
• Ability to process refunds and set up payment plans.

Responsabilidades

• Posts all insurance checks and adjusts write-offs as required.
• Reviews and posts patient payments (checks, credit cards) from mail or phone.
• Enter and post all insurance denials with the appropriate reason codes.
• Answers patient questions on Billing Q and via calls, portals, and emails.
• Monitors billing voicemail, patient portal, and billing tasks; follows up appropriately.
• Assists patients with setting up payment plans and income verification forms as needed.
• Reviews and completes Business Office reports and balance sheets.

Conhecimentos

Medical billing

CPT/ICD-10 codes

Communication skills

Software proficiency

Teamwork

Formação académica

Associate degree

Medical billing certificate

Ferramentas

EDI systems

EHR software

Descrição da oferta de emprego

JOB SUMMARYThe Business Office Billing Representative is responsible for the follow up of all insurance payment posting and personal payments, taking adjustments, Posting insurance denials. Working various reports, handling billing and patient calls as required, processing refunds and working collection accounts, referring patients for assistance and setting up payment plans and other duties as assigned or needed.ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.Posts all insurance checks and adjusts write-offs as required.Review Fee schedules for any incorrect payments or contract issuesPosts patient payments (checks, credit cards, care credit) from incoming mail or phone.Enter and post all insurance denials and posts with the appropriate reason codes.Answers patient calls on Billing Q for account and billing questionsMonitors Biling Q Voicemail, Patient Portal, Billing task and follows up appropriatelySend tasks to appropriate department (clinical, optical, front office) to obtain additional information or to correct diagnosis/procedure code information.Sends FYI tasks to staff for training purposes.Answers incoming calls from patients, staff, insurance companies, and other medical facilities regarding insurance and/or billing concerns.Assists patients with setting up payment plans.Reviews and completes a variety of Business Office Reports.Follows up on any patient concerns and resolves any patient issues or completes patient complaint forms for follow up.Possesses knowledge of CPT and ICD-10 codesWorks credit balance reports and processes refunds.Processes funds for copay assistance programs.Fills out Income Verification Forms for Low Income HousingReviews and enters surgery charges for the ASC and professional fees.Reviews unapplied payments report and applies to account balances.Processes and reviews statementsCompletes daily balance sheets and send all paperwork to accountingOrganizes insurance company EOBs for filing or downloads.Processes and posts payroll deduction payments for employee accounts.Monitors and sends collection agency accounts, payments and general correspondence.Processes and opens incoming mail, sends outgoing mail, and handles returned mail.Posts medical records charges on patient accounts.Posts professional charges for J. Iverson Riddle.Reviews all emails.Scans checks for deposits.Performs other duties as required.QUALIFICATIONSTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Individuals must have knowledge of medical insurance, excellent communication and organizational skills, proficient on most software applications and be able to perform each essential duty satisfactorily. 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 and/or EXPERIENCEAssociate’s Degree in related field preferred; one year certificate from college or technical school; or three years or more related experience and/or training; or equivalent combination of education and experience.LANGUAGE SKILLSAbility to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.MATHEMATICAL SKILLSAbility to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.REASONING ABILITYAbility to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.PHYSICAL DEMANDSThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Specific vision abilities required by this job include ability to adjust focus.WORK ENVIRONMENTThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The noise level in the work environment is usually quiet.