Billing Office Representative

GRAYSTONE OPHTHALMOLOGY ASSOCIATES PA•Hickory, NC

2d•Onsite

About The Position

The Business Office Billing Representative is responsible for the follow up of all insurance payment posting and personal payments, taking adjustments, Posting insurance denials. Working various reports, handling billing and patient calls as required, processing refunds and working collection accounts, referring patients for assistance and setting up payment plans and other duties as assigned or needed.

Requirements

Knowledge of medical insurance
Excellent communication and organizational skills
Proficient on most software applications
Ability to read and comprehend simple instructions, short correspondence, and memos.
Ability to write simple correspondence.
Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
Ability to deal with problems involving a few concrete variables in standardized situations.
Specific vision abilities required by this job include ability to adjust focus.

Nice To Haves

Possesses knowledge of CPT and ICD-10 codes

Responsibilities

Posts all insurance checks and adjusts write-offs as required.
Review Fee schedules for any incorrect payments or contract issues
Posts patient payments (checks, credit cards, care credit) from incoming mail or phone.
Enter and post all insurance denials and posts with the appropriate reason codes.
Answers patient calls on Billing Q for account and billing questions
Monitors Biling Q Voicemail, Patient Portal, Billing task and follows up appropriately
Send tasks to appropriate department (clinical, optical, front office) to obtain additional information or to correct diagnosis/procedure code information.
Sends FYI tasks to staff for training purposes.
Answers incoming calls from patients, staff, insurance companies, and other medical facilities regarding insurance and/or billing concerns.
Assists patients with setting up payment plans.
Reviews and completes a variety of Business Office Reports.
Follows up on any patient concerns and resolves any patient issues or completes patient complaint forms for follow up.
Works credit balance reports and processes refunds.
Processes funds for copay assistance programs.
Fills out Income Verification Forms for Low Income Housing
Reviews and enters surgery charges for the ASC and professional fees.
Reviews unapplied payments report and applies to account balances.
Processes and reviews statements
Completes daily balance sheets and send all paperwork to accounting
Organizes insurance company EOBs for filing or downloads.
Processes and posts payroll deduction payments for employee accounts.
Monitors and sends collection agency accounts, payments and general correspondence.
Processes and opens incoming mail, sends outgoing mail, and handles returned mail.
Posts medical records charges on patient accounts.
Posts professional charges for J. Iverson Riddle.
Reviews all emails.
Scans checks for deposits.
Performs other duties as required.