Billing Representative

KPH HEALTHCARE SERVICES, INC; City of Watertown (NY); On-site; USD 45,000 - 70,000; Full time

Job summary

KPH Healthcare Services, Inc. in Watertown, NY is seeking a Medical Billing Specialist responsible for collecting, posting, and managing payments, and ensuring excellent customer service.

You will work with insurance companies to obtain timely results and collaborate with the CSR team to optimize billing processes. Responsibilities include submitting claims via Brightree, following up on denials, preparing patient statements, and generating AR reports.

Qualifications

• Experience in collecting and posting payments.
• Familiar with submitting insurance claims and follow-up.
• Proficient in billing cycles and AR reporting.
• Maintains confidentiality per HIPAA requirements.

Responsibilities

• Responsible for collecting, posting, and managing payments.
• Collect and deposit payments into the appropriate location; perform various collection actions.
• Communicate with the CSR team on billing needs for each patient.
• Review documentation to ensure billing readiness; follow up as needed.
• Work with CSR to manage WIP’s in Brightree.
• Confirm orders in Brightree.
• Prepare and submit claims to insurance companies; follow up as appropriate.
• Follow up on documentation during billing to ensure proper billing.
• Prepare, review, and issue patient statements.
• Handle all phone calls related to billing and resolve patient billing issues.
• Inform CSR of payer guideline changes to improve documentation collection.
• Manage payment collection platform.
• Match and manage dates to bill on the correct cycle.
• Draft and prepare various reports upon request.
• Obtain EOBs, process payments into each facility, and into the RCM platform.
• Assist new Medicare patients with rentals and ensure proper documentation.
• Determine if full payment for supplies and rentals is collected; convert rentals to purchases when appropriate.
• Create deposit logs and coordinate with corporate finance.
• Manage denials and assist with denials and insurance verification.
• Run stop/hold reports and AR reports upon request.
• Maintain confidentiality; adhere to HIPAA guidelines.
• Ensure billing is handled properly for audits; perform other duties as assigned.

Skills

Billing

Customer Service

Communication

HIPAA

Attention to detail

Tools

Brightree

RCM platform

Job description

Job Summary: Collect, post, and facilitate account payments and ensuring excellent customer service. Work with insurance companies when necessary to obtain timely results.
Job Duties

• Responsible for collecting, posting, and managing payments.
• Collect and deposit payments into the appropriate location. Perform various collection actions.
• Openly communicate with the CSR team on the needs associated with billing each patient individually.
• Review documentation gathered by the CSR team to ensure everything necessary for billing to properly take place has been gathered. Follow up on CMN’s accordingly as necessary.
• Work with CSR’s to manage WIP’s in Brightree.
• Confirm orders in Brightree.
• Prepares and submits claims to various insurance companies and follow up when appropriate.
• Follow up on document collection on various time periods during billing cycle, ensuring documentation still applies to the goods or service being delivered so billing may take place properly.
• Prepare, review and issue patient statements.
• Handle all phone calls related to billing and resolve patient billing complaints/issues.
• Inform the CSR team of changes in payer guidelines so documentation collection can be as efficient as possible.
• Manage payment collection platform.
• Match and manage dates so billing happens on the proper billing cycle.
• Draft and prepare various reports upon request.
• Obtain EOB’s, process all payment coming into each facility, and process payment into RCM platform.
• Facilitate patients new to Medicare with ongoing rentals into a new rental. Ensure all proper documentation is collected.
• Determine if full payment for supplies and rentals have been collected; convert rentals to purchases when appropriate.
• Create deposit logs and communicate information pertaining to deposits with corporate finance team.
• Manage denials and assist Brightree in denials, rejections, and insurance verification efforts.
• Work stop/hold reporting and manage AR reports upon request.
• Maintains strict confidentiality, adheres to all HIPPA guidelines and regulations.
• Ensure billing is handled properly so any audit triggered may be managed successfully.
• Perform other duties as assigned