Hospital Patient Billing

Chesapeake Regional Healthcare•Chesapeake, VA

About The Position

This role involves managing hospital patient billing, including responding to inquiries, reviewing accounts, processing payments and denials, and handling special programs. The position requires meticulous record-keeping, problem-solving, and adherence to legal and regulatory guidelines for account management.

Requirements

High school diploma
3+ years in hospital billing
Working knowledge of third-party payer regulations
Knowledge of medical terminology, ICD-10, CPT-4 and HCPC coding
Working knowledge of UB 04 and 1500 claim forms

Nice To Haves

College courses or associates degree
Epic HB Experience
Bilingual skills
CRCS AAHAM

Responsibilities

Receive and respond to inquiries via phone, writing, or in-person, including complete reviews of accounts for billing, insurance, and collection information.
Review Tax Debt Set-Off matches for accuracy and verification of debt, and prepare and mail letters to patients.
Serve as a direct patient contact for the Tax Debt Set-off program.
Make necessary revisions on accounts, such as adding insurance and demographic information, changing FCs, performing balance transfers, sending hard copies to Imaging, and routing account information to other Patient Accounts billing units.
Document customer inquiries/concerns precisely, completely, and accurately.
Recognize important customer service issues and inform the Billing Manager in a timely fashion.
Practice problem recognition and resolution; identify root causes of inadequacies and participate in quality assurance programs.
Process assigned insurance refunds and MAMSI and Anthem denials.
Handle all physician billing and special programs such as Champus, Tricare, and Employee Health.
Monitor and work on assigned special projects and reports.
Maintain USPS rejects and Document Imaging.
Handle all patient correspondence.
Monitor missing cash in the unapplied cash account.
Process attorney requests and correspondence.
Maintain and process bankruptcy and deceased accounts appropriately and according to law.