Patient Accounting - Marshall Dentistry & Oral Surgery

Marshall Health • Huntington, WV

19h • Onsite

About The Position

This position is responsible for reviewing and processing refund requests, utilizing electronic and manual systems for coding and generating provider charges and claims. Key duties include data entry for billing and claims, such as charge entry and payment posting, and responding to inquiries from patients, insurance carriers, or other parties regarding claims and billing issues. The role also involves fulfilling routine information requests from various sources, providing monthly and ad-hoc reports, and performing precertification for scheduled procedures, including communicating patient balances. Additionally, the individual will collaborate with Corporate and Department management to ensure compliance with policies and procedures related to Professional Fee Reimbursement.

Requirements

• High school diploma or GED.
• Minimum of one year billing experience in a health care organization.

Nice To Haves

• Experience and knowledge of the claim denial/accounts receivable process.
• Working knowledge of Cerner Practice Management software.

Responsibilities

• Reviews and processes refund requests.
• Utilizes the necessary electronic and manual systems to identify and capture source documentation needed for the coding and generation of provider charges/claims.
• Performs the data entry role for all necessary billing and claims related functions including, but not limited to charge entry and payment posting.
• Answers phone calls and/or inquiries from patients, insurance carriers or other parties to assist in the submission, payment or clarification of claims or billing related issues.
• Carries out routine requests for information from any number of sources such as the practice management system, archived or scanned billing documents, or supporting documentation for prior charges.
• Provides various reports, both monthly and ad-hoc, as defined and requested utilized either the practice management system or an available external reporting solution.
• Performs the precertification process for scheduled procedures as necessary, including communication of any balances due to the patient.
• Works with Corporate and Department management to develop, maintain, and follow policies and procedures relating to and in support of the Department’s and Corporation’s Compliance Program for Professional Fee Reimbursement.
• Performs other duties as assigned or requested.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 101-250 employees