Billing Office Representative

GRAYSTONE OPHTHALMOLOGY ASSOCIATES PA•Hickory, NC

6d•Onsite

About The Position

The Business Office Billing Representative follows up on insurance and patient payments, posts payments and insurance denials, makes adjustments, and handles billing-related reports and calls. The role also processes refunds, works collection accounts, refers patients for assistance, sets up payment plans, and performs other assigned duties. The representative responds to billing questions and concerns from patients, staff, insurance companies, and other medical facilities; reviews and processes account information, statements, charges, and payments; and coordinates with other departments to obtain information or correct diagnosis and procedure codes. The position completes daily balance sheets and sends paperwork to accounting, handles incoming and outgoing mail, and performs related business-office tasks. The work environment is usually quiet. Specific vision abilities include the ability to adjust focus. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requirements

Knowledge of medical insurance.
Excellent communication and organizational skills.
Proficiency with most software applications.
Ability to perform each essential duty satisfactorily.
Associate’s degree in a related field preferred; alternatively, one-year certificate from a college or technical school, three or more years of related experience and/or training, or an equivalent combination of education and experience.
Ability to read and comprehend simple instructions, short correspondence, and memos; write simple correspondence; and present information effectively in one-on-one and small-group situations.
Ability to perform basic arithmetic using whole numbers, common fractions, and decimals; compute rates, ratios, and percentages; and draw and interpret bar graphs.
Ability to use common-sense understanding to follow detailed but uncomplicated written or oral instructions and address problems involving a few concrete variables in standardized situations.
Ability to adjust focus.

Nice To Haves

Associate’s degree in a related field.

Responsibilities

Post insurance checks and apply write-offs or other adjustments as required.
Review fee schedules for incorrect payments or contract issues.
Post patient payments received by check, credit card, or CareCredit from mail or phone transactions.
Enter and post insurance denials with appropriate reason codes.
Answer patient billing calls and monitor billing voicemail, patient portal, and billing tasks, following up appropriately.
Send tasks to clinical, optical, and front-office departments to obtain information or correct diagnosis or procedure codes.
Send staff FYI tasks for training purposes.
Answer calls from patients, staff, insurance companies, and other medical facilities about insurance or billing concerns.
Help patients establish payment plans and refer patients for assistance.
Review and complete Business Office reports.
Follow up on patient concerns, resolve issues, or complete patient complaint forms for follow-up.
Work credit-balance reports and process refunds.
Process funds for copay assistance programs and complete income verification forms for low-income housing.
Review and enter surgery charges for the ASC and professional fees.
Review unapplied-payment reports and apply payments to account balances.
Process and review statements.
Complete daily balance sheets and send paperwork to accounting.
Organize insurance company EOBs for filing or download them.
Process and post payroll-deduction payments for employee accounts.
Monitor and send accounts, payments, and general correspondence to collection agencies.
Process incoming mail, send outgoing mail, and handle returned mail.
Post medical-record charges to patient accounts and post professional charges for J. Iverson Riddle.
Review emails and scan checks for deposits.
Perform other duties as required or assigned.