Contract Biller

PRIORITY ONDEMAND•Conyers, GA

10d•Onsite

About The Position

The Contract Biller is responsible for all facility (nursing homes, hospitals, hospice), subsidy, and special event billing, tracking, reporting, and collections. This includes all contracted and non-contracted facilities.

Requirements

High School Diploma
Must have the ability to properly perform job responsibilities as listed.
Must possess a high degree of personal integrity and responsibility.
Must have the ability to simultaneously manage multiple activities without error.
Must have the ability to work effectively with minimal supervision, using good judgment.
Must have good computer skills and be able to type at least 30 words per minute.
The ability to reach, push and pull.
The ability to sit or stand for long periods of time.
The ability to use a computer keyboard and write for extended periods of time.
The ability to lift and maneuver 35 pounds without difficulty.
The ability to physically complete all job duties.

Nice To Haves

EMT, Hospital Coordinator, Dispatcher, Medical Billing, or related experience preferred.
Associates Degree, Coding Certification, EMT Certification or related experience preferred.
Must possess Microsoft Excel skills at a minimum of Intermediate skill set

Responsibilities

Demonstrates knowledge, understanding and compliance of company policies and procedures.
Responsible for generating and sending out invoices for all contract/facility billing for subsidies, special events, hospitals, nursing homes, hospices, and other customers for contracted and non-contracted facilities.
Responsible for all follow-up on customer invoices for all contract billings for subsidies, special events, hospitals, nursing homes, hospices, and other customers as documented in the Facility Accounts Receivable Review and Collection Process SOP.
Responsible for answering all customer questions on invoices for contract billings for subsidies, special events, nursing homes, hospitals, hospices, and other facilities.
Demonstrates ability to thoroughly understand every executed agreement and determine when and if a facility is responsible for any invoices versus an insurance payor or other third-party payor.
Coordinate and work with local operations to ensure all special events are accurately reported and billed including representation of hours worked.
Ensures that each invoice sent to the contracted facility is in fact the responsibility of that facility to pay and that the payors are in the proper order and/or inactivated before the invoice is sent.
Ensure that each invoice has the correct service level assigned based on CMS and Company guidelines and coordinates with DQA and/or Billing department on any incorrect service levels.
Maintains the Facility Aging & Tracking Report that shows aged balances by customer with notes on collection status to be distributed to Distribution Contacts.
Responsible for tracking and reporting to Director of Revenue Operations, Regional President, Vice President of Operations, and Directors of Operations (reporting distribution hereafter referred to as “Distribution Contacts” on status of all contract accounts relievable).
Responsible for coordinating with Distribution Contacts to collect overdue accounts relievable and coordinate with legal counsel for collection notices.
Responsible for updating and maintaining all data in the Contract Data Base including random audits to ensure accuracy.
Processes facility rate increases including CMS Medicare annual rate increases by preparing rate change forms and then confirming accuracy of the rates after they are keyed into the Zoll billing system.
Demonstrates knowledge and understanding of (and compliance with) Federal, State, and local laws, rules, regulations, and guidelines as they pertain to reimbursement, collections, and compliance.
Ensures security of buildings, vehicles, equipment, supplies, systems, and all other company property.
Ensures the security of all company computer systems by adhering to security procedures and utilizing appropriate passwords policies.
Performs daily appropriate housekeeping duties.
Complete and maintain appropriate training, certification, and licensure for their position.
Maintain a high level of customer service when dealing with patients, patient families, co-workers, clients, other healthcare providers and the general public.
Always maintains security and privacy of all confidential and proprietary company information in accordance with company policy.
Always maintains security and privacy of all company and patient information in accordance HIPPA and all other local, state, and federal regulations.
Notifies the Director Revenue Cycle of any lapses in documentation resulting in less than full compliance with compliance and HIPAA standards.
Responsible for keeping billing and patient care records secure in accordance with proper HIPAA and document retention standards.
Reports to assigned shifts properly groomed and attired and on time unless the proper notification has been made. Maintains and adheres to attendance policy as outlined in the Priority Company Handbook.
At all times sets an example of professionalism and places customer service, compliance, and safety above all else.
Notifies Director Revenue Cycle of any questions, concerns or issues regarding billing, collections, or compliance matters.
Acts always with his/her personal safety in mind, as well as the safety of others.
Assures all company goals, objectives and procedures are followed daily.
Performs other duties as directed by management.