Biller/Collector-Royse City

Hunt Regional HealthcareRoyse City, TX
Onsite

About The Position

Responsibilities include billing, reviewing patient accounts and completing active follow-up on delinquent accounts with a focus on "clean claims" and A/R aging. Additional duties include rebills, working correspondence, and interpreting payer guidelines.

Requirements

  • High School graduate or equivalent.
  • One year's experience in a hospital, insurance or office environment.
  • Prior experience involving public contact.
  • Ability to interpret and generate written correspondence utilizing proper grammar, spelling and composition skills.
  • Knowledge of Medicare and/or Medicaid guidelines.
  • Computer knowledge.
  • Ability to operate office equipment, such as copy machines, fax machine and printers.
  • Must be able to work independently with minimal supervision.
  • Good communication skills essential.

Nice To Haves

  • Some college.
  • Experience processing commercial and managed care claims.
  • Experience with automated systems.
  • Medical terminology.

Responsibilities

  • Billing, reviewing patient accounts and completing active follow-up on delinquent accounts with a focus on "clean claims" and A/R aging.
  • Rebills, working correspondence, and interpreting payer guidelines.
  • Process and complete appeals within a timely manner.
  • Review incoming bulletins from governmental payers, and share with appropriate personnel.
  • Retrieve medical records from Healthport and mail to payer in a timely manner.
  • Complete follow-up on delinquent accounts by telephone, internet, or correspondence to resolve outstanding balances and to determine payment date.
  • Work in tandem with other departments i.e. HIM (Medical Records) to ensure that requests are complete.
  • Post recoups on a daily basis.
  • Contractuals reviewed and adjusted when necessary.
  • Reconciliation of payer remit after electronic posting to patient accounts.
  • Process and complete assigned bills within 48 hours of receipt.
  • Complete required Confirmation Acceptance Reports, and Transmittal reports on a daily basis.
  • Utilize current Age Trial Balance as a resource with a focus on accounts > 30 days in age.
  • Review and complete reminders consistently, and in a timely manner.
  • Follow-up on pending correspondence and other mail received within 72 hours of receipt.
  • Enter accurate and thorough comments on each patient account.
  • Resolve issues and/or concerns amicably in a timely manner. Involves PFS Leader when needed.
  • Promote and demonstrate excellent customer service at all times with internal and external customers to include patients, physicians, co-workers and all other customers.
  • Communicates effectively and expresses ideas clearly, actively listens and follows appropriate channels of communication.
  • Adaptable and responsive to change.
  • Uses time clock accurately and is punctual on a consistent basis.
  • Demonstrates a positive attitude in all assigned task and towards others.
  • Follows "Call-In" policy by notifying PFS Leader of absence.
  • Adheres to hospital and department dress code. Maintains a professional appearance at all times.
  • Consistently contributes to the achievement of excellence in healthcare through the quality and caring values of the mission and vision of Hunt Memorial Hospital District.
  • Perform special duties and projects as assigned.
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