Billing Specialist/Accounts Receivable Clerk

Weiser Memorial Hospital•Weiser, ID

6d•Onsite

About The Position

Weiser Memorial Hospital is hiring a Billing Specialist/Accounts Receivable Clerk to manage insurance billing and accounts receivable between the hospital and insurance companies, federal agencies, and other third-party payers. The role audits patient accounts for accurate procedures, charges, and coding; coordinates and posts payments; resolves account collection problems; and communicates with patients and payer organizations. The position also participates in performance improvement and quality improvement activities while maintaining confidentiality and professional relationships across the hospital.

Requirements

High school graduate or equivalent.
Proficiency in data entry using PC-based software.
Thorough understanding of different insurance plans, government agencies, Medicare, and Medicaid.
Previous billing and accounts receivable experience.

Responsibilities

Coordinate payment processes and collect payments from insurance companies, federal and state agencies, and third-party payers.
Receive insurance and patient payments and post them to the correct patient accounts.
Maintain an insurance denial log and send it to billers at the end of each week.
Gather and print EOBs from daily EFT deposits, along with the check register and credit card receipts from admitting.
Run the monthly small-balance report and adjust balances according to policy.
Maintain professional working relationships with insurance companies, government agencies, and third-party payers.
Contact appropriate agencies or companies to resolve account collection problems and independently work to resolve account issues.
Notify the Manager of Patient Financial Services about accounts that should be sent to a collection agency after the hospital has exhausted collection efforts.
Review patient accounts to ensure procedures are properly coded and charges are correct.
Adjust patient bills to reflect credits, debits, and balances.
Collect patient balances when appropriate under policy and procedure.
Document correspondence and conversations with insurers, government agencies, third-party payers, and patients in patient accounts.
Stay informed about changes in the insurance industry, including Medicare and Medicaid.
Update the daily cash board.
Make adjustments or write-offs within hospital limits.
Consult other hospital departments to obtain and verify billing information.
Interact professionally with patients and families, maintain confidentiality of patient records, and explain statements and insurance coverage.
Maintain good working relationships within the department and with other hospital departments.
Enter all patient charges daily with accuracy and completeness.
Report problems or discrepancies that may delay or affect charge posting to the Manager of Patient Financial Services.
Perform other duties as assigned.