Billing Account Representative

CompuNet Clinical Laboratories•Moraine, OH

About The Position

The Billing Account Representative performs daily Billing Department account-processing work under the supervision of the Billing Department Manager. Duties include cash application, batch processing, account adjustments and refunds, while maintaining positive working relationships with patients, clients and third-party payers. The role is located at the Core Lab in Moraine, Ohio, with remote availability, and is listed as full-time day shift, 8:00 AM–5:00 PM. The representative processes payments and account details, handles patient and client inquiries, researches and corrects account issues, and maintains relevant records and reports. The position requires accurate, timely work in a fast-paced, high-call-volume environment, adherence to department procedures and applicable compliance requirements, and a strong focus on customer service, teamwork and safety.

Requirements

  • High school graduate or equivalent required.
  • Ability to accurately perform order entry.
  • Strong communication skills for collaboration and patient/client calls.
  • Ability to handle a fast-paced, high-call-volume environment with above-average multitasking skills.
  • Effective verbal and written communication skills.
  • Strong customer-service focus and people skills.
  • Ability to work within specified deadlines and timetables.
  • Sound reasoning ability and independent judgment.
  • Ability to handle stressful situations calmly.
  • Ability to follow applicable policies, procedures, compliance requirements and safety practices.

Nice To Haves

  • Previous experience in a medical billing environment preferred.
  • Working knowledge of Medicare and other third-party claims processing, ICD-10 and HCPS/CPT coding, and medical terminology is highly desirable.

Responsibilities

  • Maintain an organized workflow and support smooth transition of duties during absences.
  • Follow department standard processes and consult the immediate supervisor when account-processing questions arise.
  • Provide good customer service and project a positive image of the department and organization.
  • Promote teamwork within the department and organization.
  • Meet or exceed department standards for quantity and quality of work.
  • Apply knowledge of relevant compliance regulations to daily duties and comply with departmental, company and regulatory policies and procedures.
  • Maintain required statistical data and complete additional duties and projects as assigned.
  • Accurately perform order entry.
  • Collaborate and communicate with internal and external departments and handle patient and client calls.
  • Batch incoming payments for posting to patient and physician accounts.
  • Report deposit discrepancies to the bank.
  • Maintain a report of posted and in-transit cash for the Accounting Department.
  • Apply payment details to client and patient accounts, including contractual disallowances, copays and deductibles.
  • Review overpayments and initiate refunds or correct misapplied payments as appropriate.
  • Read and understand payer Explanation of Benefits documents.
  • Process incoming patient mail and telephone inquiries accurately and promptly according to department SOP.
  • Review bankruptcy notices, perform appropriate write-offs of outstanding accounts and maintain bankruptcy files.
  • Research collection accounts as requested by patients or collection agencies.
  • Review system error codes and make corrections to accounts.
  • Follow company safety, ergonomic and health policies; comply with PPE requirements in laboratory or other biohazard areas; complete required safety training and health evaluations; identify hazards and promote safety awareness.
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