Billing Account Representative

CompuNet Clinical Laboratories•Moraine, OH

4d•Hybrid

About The Position

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. This role requires maintaining an organized workflow for efficient processing and smooth transitions, following department standard processes, and consulting with supervisors on account processing questions. The representative will exhibit good customer service skills, project a positive image, foster teamwork, and meet or exceed department standards for quantity and quality of work. A working knowledge of relevant compliance regulations is essential, along with compliance to all departmental, company, and regulatory policies and procedures. Statistical data will be maintained as required, and additional duties and projects may be assigned.

Requirements

High school graduate or equivalent required.
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.
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.

Nice To Haves

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.
Strong communication skills needed for collaboration with both internal and external departments as well as patient/client calls.
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.
Possess strong focus on positive customer impact.
Utilize verbal and written communication effectively.

Responsibilities

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.
Accurately perform order entry.
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 overpayments, initiating refunds or correcting misapplied payments as appropriate.
Process incoming patient mail and telephone inquiries accurately and in a timely fashion as outlined in the Department SOP.
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.