About The Position

In this fast-paced environment, under the immediate supervision of the Director of Revenue Services, performs work involving alphabetical and third-party sorting and verification of charges indicated on the patient’s medical bills. Work also involves the completion and transmittal of patient’s insurance forms, indicating a break-down of charges and diagnosis. Supervision takes the form of discussions, conferences, and review of work for conformity with established laws, rules, and regulations.

Requirements

  • Ability to understand Corporate and departmental policies, regulations, practices and procedures prescribed for the conduction of business and billing of services.
  • Ability to establish and maintain effective working relationships with co-workers and other contacts.
  • High school diploma and four (4) years of progressive experience in a health care setting.
  • Graduation from a recognized college or university two (2) year program with an Associate of Arts degree in Business Administration or a related field, plus two (2) years of work experience in a business office setting.
  • Graduation from the twelfth grade including or supplemented by commercial subjects and four (4) years of related experience in the areas of claims examining, interviewing, in a service-oriented or social service setting, accounts clerk or related capacity.
  • Ability to read and interpret documents such as operating and maintenance instructions, and procedure manuals.
  • Ability to communicate concisely and clearly orally and in writing with clinical staff, patients, and center staff.
  • Ability to follow simple, oral, and written directions.
  • Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, area, and percentages.
  • Ability to apply concepts of basic algebra and mathematics.
  • Good analytical skills.
  • Ability to solve practical problems and deal with a variety of concrete variables in situations.
  • Proofread documents.
  • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
  • Competency required in the areas of communication, excellent verbal and written skills.
  • Ability to prepare accurate reports.
  • Ability to prepare complex work rapidly and accurately.
  • Ability to type at least 50 words per minute.
  • Computer literate to include Microsoft Word, Excel and Access.
  • Knowledge and ability to operate all office and business machinery.
  • Good organizational skills and the ability to perform numerous tasks simultaneously in a fairly complex office environment.
  • Stickler for details, sense of personal responsibility for work performance and a professional attitude.
  • The ability to work without supervision and adhere to policies and procedures.
  • Knowledge of filing practices and procedures; claim processing.

Responsibilities

  • Interviews patients in order to obtain pertinent information such as: (1) ability to pay, (2) the presence of third party coverage, (3) the presence of Medical Assistance, and (4) identifying information.
  • Uses data and follows a prescribed formula for computing SIF discounts.
  • Applies discounts to an individual’s account, ensures that discounts are justifiable, correct, and true in accordance with existing laws and regulations.
  • Ensures that account is accurate, true and correct, checks computations, proper addresses, and other pertinent information.
  • Determines and differentiates as to which formula is applicable to the services rendered and reports all irregularities to supervisor.
  • Prepares periodic statement as to total of services rendered and breakdown of these services.
  • Registers patients on a standard computer database.
  • Reviews all charges of incidental services received by individuals and audits all documents submitted for processing in connection with accounts.
  • Perform all other related duties as required or assigned.
  • Employee may be required to handle cash.
  • Assist with any other duties as assigned.
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