Billing Rep

ConnextCare•Pulaski, NY

1d•$16 - $18•Hybrid

About The Position

The Billing Rep is responsible for accurately collecting and inputting billing data into the computer system. This role involves entering patient charges, ensuring accurate patient and insurance information, verifying insurance eligibilities, and confirming billing charges against chart notes to ensure compliance with coding guidelines and correct billing procedures. The position also requires communication with providers regarding documentation and billing, working various reports, providing estimates and predeterminations, completing specific forms, and utilizing coding books. Additionally, the Billing Rep will act as a backup for other billing roles, reconcile daily receipts and charges, assist in training new staff, and support management with audit preparation. Cross-training for posting explanations of benefits, posting various payment types, and following up on delinquent and denied claims with insurance companies are also key responsibilities. Claims processing via insurance company websites is required. This position offers the option to be hybrid after training completion.

Requirements

High school graduate or GED
Must have the ability to maintain the knowledge of coding guidelines
Verbal and written communication skills, office applications preferred
Demonstrate proper judgment and decision making skills
Comply with the organizations code of conduct, safety rules and adheres to all company policies
Must be willing to and demonstrate the ability to cooperate, work, and communicate with coworkers, supervisors, and visitors to our facility in an ethical, effective and professional manner
Must demonstrate computer proficiency with Microsoft Suite and the practice management system
Must possess the ability to display compassion and work well in stressful situations
Must be keenly aware of the importance of confidentiality in all aspects of the position

Nice To Haves

Upgrade to a higher level from Billing Rep. to Specialist to Senior would depend on length of employment, current work performance, how many insurances one is taking on and accuracy in completing in a timely fashion

Responsibilities

Enter patient charges into the practice management system
Ensure patient and insurance information accurately into the practice management system
Verify and obtain insurance eligibilities for all patient visits
Verify billing charges with the chart note to make sure all charges match the coding guidelines and all procedures are billed correctly
Communicate questions in a task to providers regarding documentation and/or billing charges
Print and work Open Encounter Report daily
Work Credit Balance report and Aging reports
Be able to provide estimates, predeterminations and/or outreach
Complete and send out Medicaid threshold forms
Must be able to use the CPT and/or CDT coding book
Act as a backup for the Dental Billing or Billing Representative-payment poster
Reconcile and close receipts and charges to daily journal, computer generated reports to ensure accuracy
Assist in the training of Dental or Billing staff
Assist management in compiling necessary information for audits, both internal and those required by outside entities.
Cross training for posting explanation of benefits
Post daily Time of Service, collection, slide, daily logs and/or incoming payments
Contact insurance companies to follow up on delinquent claims
Follow up on denied claims by sending claim status requests to appropriate insurance companies
Process claims for service via websites of insurance companies.