Billing Implant & Self Pay Clerk

Hudson Regional Hospital•Clifton, NJ

4d•$18 - $19

About The Position

This role is responsible for managing billing processes related to implants and self-pay accounts. Key duties include collecting and verifying vendor sheets and purchase orders for implants, ensuring correct charges to accounts, and processing implant invoices for insurance carriers. The position also involves downloading and verifying self-pay statement files, ensuring patient billing aligns with EOBs, printing and mailing patient statements, and correcting errors identified in billing reports. Additionally, the role requires actively following up on outstanding accounts, researching and resolving rejected or denied services, and maintaining productivity and departmental standards.

Requirements

Excellent customer service skills
Excellent problem solving skills
Strong analytical skills
Strong organizational skills
Ability to interact with varying cultures and a diverse population
Basic computer skills
H.S. Graduate

Nice To Haves

Bi-lingual in Spanish preferred
1-2 years’ experience in a customer relations driven industry preferred

Responsibilities

Collect all vendor sheets for billing for implants from OR.
Verify that all implants are correctly charged to the accounts.
Verify all PO for implants match the accounts.
Collect and send all implant invoices to proper insurance carrier for payment.
Download the self-pay statement files into the appropriate self-pay template.
Verify that the amounts billed to the patients are in accordance with the allowed amount stated on the EOB.
Print and prepare for mailing all current patient statements.
Perform necessary correction to errors received from daily electronic billing reports, paper claim submissions and third party confirmation reports. Where applicable, make necessary corrections in the billing system.
Expedite payment of outstanding accounts through regularly scheduled follow up activity.
Review system generated reports to identify accounts requiring research based on guidelines established by department. Determine appropriate action to be taken for resolution of accounts, securing prompt and accurate payment. Documents result in appropriate system(s) and Log. Alert Supervisor and/or Manager of non-payment trends.
Research rejected and/or denied services. Determine corrective action to be taken. Complete corrective action, utilizing departmental procedures, policies, and document results in appropriate system(s) and Log. Alert Supervisor and/or Manager of non-payment trends.
Complete productivity reports and forward to Supervisor per established time frame.
Support customer service and performance improvement goals of the department; collaborate with other staff, within and outside the Department, to develop means of enhancing patient care and service.
Maintain standards of confidentiality.
Be courteous and knowledgeable when responding to incoming or outgoing calls and provide clear and appropriate information as needed.
Resolve credit balances in accordance with department policies and procedures.
Maintains, process and log in AR records all requests for MR.
Performs other duties as assigned.