BILLER/COLLECTOR

UHS•Raleigh, NC

About The Position

The Patient Account Biller/Collector is responsible for the billing, follow-up, and collection of assigned patient accounts by contacting patients, insurance companies and third-party payors to resolve all outstanding owed balances; works closely with collection agencies for bad debt recovery; maintains third-party logs; and may code and post all receivables from patients insurance companies, and third-party payors on patient accounts. CUSTOMERS SERVED: Patients; families; direct-care service providers; external funding sources; service, accreditation, and licensing agencies; other staff; and the community. KEY RESPONSIBILITIES: Communication – internal and external for accuracy, efficiency and timeliness. Billing – by established guidelines, ensuring completeness and accuracy. Collections – timely, accurate, and thorough. Documentation/Reports – ensuring backup for systems, accounts, and accuracy. Work Habits – to ensure teamwork, efficiency and effectiveness. Performs other duties as assigned.

Requirements

High school diploma or GED
A minimum of two (2) years’ work experience in healthcare collections or a related field, or any combination of education, training, or experience in a healthcare business office environment.
Knowledge of CPT coding and billing procedures, computer software applications, and insurance billing and collection procedures.
Skill in organizing and prioritizing workloads to meet deadlines, telephone etiquette and paging procedures, and effective oral and written communication skills.
Excellent communication skills, both verbal and written.
Ability to effectively communicate with patients, coworkers, adhere to safety policies and procedures.
Ability to use good judgement and to maintain confidentiality of information, work as a team player.
Ability to demonstrate tact, resourcefulness, patience and dedication, to accept direction and adhere to policies and procedures.
Ability to recognize the importance of adapting to the various patient age groups (adult and geriatric).
Ability to work in a fast-paced environment, and to react calmly and effectively in emergency situations.
Experience with and ability to quickly learn various computer based programs/systems.
Vision, hearing, verbal communication ability (by phone and face-to-face), emotional stability, sufficient to perform essential job functions and handle stress and changing priorities.
Requires repeated use of hands and fine motor skills to use computer and to manipulate papers and office machinery (copier, computer, telephone, calculator, safe, facsimile machines).
Ability to see well enough to read handwritten and typewritten material.
Able to learn and complete computer activities.
Able to lift/lower up to 25 pounds and grasp and move items.
Ability to push and pull up to 10 pounds (file cabinet drawers, computer paper boxes)
Ability to retrieve files from bottom shelves and drawers and move boxes of paper and forms to printer.
Ability to reach, turn and twist above and below the waist daily to retrieve files from top shelves to obtain office supplies from upper shelves in supply closet.
Ability to spend 90% working time in an environment of continuous low voices and office machine noise, typical for business office atmosphere.
Ability to handle a variety of repetitive tasks.
Able to sit for extended periods of time, up to eight (8) hours
Able to stand for extended periods of time, up to eight (8) hours
Regular and predictable attendance.
Ability to work a minimum 40-hour work week.

Nice To Haves

Some college; degree in healthcare or business related field.
Experience with insurance billing, computer and business software programs (HMS) preferred
Clinical licensure/certification in healthcare related field preferred.

Responsibilities

Provides account and billing information to patients, insurance companies and/or collection agencies in a clear, concise and timely manner.
Contacts the insurance company regarding billing within 15 days following billing submission to assure it has been received.
Reports any system problems, billing or filing back log to direct supervisor.
Processes all insurance requests in a timely manner.
Maintains billing system ensuring all bills are submitted either electronically or by paper within corporate guidelines.
Checks all bills and UB92’s for accurate information and makes all corrections on bills neatly and legibly.
Submits all necessary changes to Patient Master File to correct any errors on bills. Routinely makes corrective split bill when insurance verification requires it.
Ensures timely billing of all secondary insurance and re-files any missing or lost bills in a timely manner.
Submits any outstanding late charges and request bills to reflect late charges and make appropriate corrections.
Ensures the effective implantation of collection measures for uncollected accounts.
Provide required follow-up on all patient accounts ensuring that all accounts are resolved within 120 days after discharge.
Processes patient refunds accurately and documents refund adjustments.
Maintain work-list and ensure accounts are worked daily and documented on the HMS system.
Maintain billing edit reports and makes appropriate corrections.
Maintains the patient’s accounts with all appropriate documentation detailing all contacts made.
Send request to patient for any information needed to submit a “clean” bill.
Submits Cash Adjustment forms with the appropriate contractual allowances taken.
Adheres to facility, department, corporate, personnel and standard policies and procedures.
Assures consistent compliance with facility’s time and attendance expectations and safety policies/practices.
Perform other duties as assigned