Medical Office Billing Representative - FT - Day - Lawrenceville
About The Position
Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates. The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time). Pay Range: $18.57 - $26.98 Scheduled Weekly Hours: 40 Position Overview Minimum Pay: $18.21 SUMMARY (BASIC PURPOSE OF THE JOB) Provides, elicits, and gathers information to facilitate, expedite, and obtain payment from third party carriers and self paying patients. Performs collection and follow-up activity with insurance companies. Deals with patients by phone or in writing to investigate delayed, partial, or unpaid accounts. Completes necessary billing projects as assigned. Meets internal and external customer expectations.
Requirements
- Education: High school diploma or equivalency.
- Experience: One year related experience or training.
Responsibilities
- Bills appropriate insurance company or patient according to insurance requirements.
- Bills remaining balances to secondary insurances or patients as appropriate.
- Posts payments to account upon receipt of explanation of benefits and files explanation of benefits statements according to departmental policy.
- Ensures that proper payment has been received according to contract and reports variances to supervisor.
- Adjusts account balances appropriately.
- Logs and notes accurately contract allowances, insurance write-offs, and courtesy discounts according to departmental policy.
- Documents and reports declinations of insurance payments to supervisor timely.
- Balances deposits for assigned accounts and deposits in bank according to departmental policy.
- Maintains current knowledge of payer requirements through insurance manuals, bulletins, memoranda, phone calls, and questions to supervisors.
- Demonstrates a comprehensive understanding of team functions and specialized terminology of third party payers.
- Completes proper documentation of all activity in patient or insurance accounts.
- Reviews all insurance information provided by supervisor to maintain current billing knowledge and documents and reports any discrepancies or declinations to supervisor.
- Completes the required amount of work within a given time frame with minimal oversight.
- Demonstrates a willingness to adapt to changing departmental demands as new billing duties are required.
- Completes special assignments and projects with minimal supervision and consistently meets targets.
- Performs duties quickly and accurately showing attention to details and is sufficiently organized to produce quality work.
- Maintains computer and paper departmental files and logs as directed.
- Forwards necessary documentation with bills as directed by payers, attorneys, and auditing companies according to departmental and CH policy.
- Answers patient and third party payer representative inquiries timely regarding accounts and completes proper documentation of all activity on each account.
- Answers inquiries by phone, mail, or in person in accordance with departmental standards for customer service.
Benefits
- Medical Plan
- Prescription drug coverage & In-House Employee Pharmacy
- Dental Plan
- Vision Plan
- Flexible Spending Account (FSA) - Healthcare FSA - Dependent Care FSA
- Retirement Savings and Investment Plan
- Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
- Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
- Disability Benefits – Long Term Disability (LTD)
- Disability Benefits – Short Term Disability (STD)
- Employee Assistance Program
- Commuter Transit
- Commuter Parking
- Supplemental Life Insurance - Voluntary Life Spouse - Voluntary Life Employee - Voluntary Life Child
- Voluntary Legal Services
- Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
- Voluntary Identity Theft Insurance
- Voluntary Pet Insurance
- Paid Time-Off Program
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
1,001-5,000 employees
