Physician Biller

Hurley•Flint Charter Township, MI

9d•Onsite

About The Position

Under general supervision, is responsible for accurate and timely billing of all charge sessions for physician professional services to all third party payers and patient self-pay accounts. This includes reviewing the charge sessions / encounters, entry of charges into the accounts receivable system, corrections to third party claims, as needed, to ensure timely reimbursement for physician professional fees. Performs follow-up on aged receivables to determine cause of delayed payment and performs all necessary actions to resolve outstanding balance. Reviews initial denials to determine next steps while responding to billing concerns and working to prevent future denials by communicating with revenue cycle leadership about root causes. Participates in development of staff education and process changes relative to authorizations, coverage, and denials. Participates in quality assessment and continuous quality improvement activities. Complies with all appropriate safety and infection control standards. Performs all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior.

Requirements

Accurate and timely billing of physician professional services.
Experience with third party payers and patient self-pay accounts.
Ability to review charge sessions/encounters.
Proficiency in entering charges into an accounts receivable system.
Skill in correcting third party claims.
Experience in following up on aged receivables.
Ability to resolve outstanding balances.
Experience reviewing initial denials and determining next steps.
Ability to respond to billing concerns.
Communication skills to work with revenue cycle leadership.
Understanding of authorizations, coverage, and denials.
Knowledge of quality assessment and continuous quality improvement activities.
Adherence to safety and infection control standards.
Customer-focused manner and adherence to Hurley Family Standards of Behavior.

Nice To Haves

May direct the work of clerical employees of a lower grade.

Responsibilities

Accurate and timely billing of all charge sessions for physician professional services to all third party payers and patient self-pay accounts.
Reviewing charge sessions/encounters.
Entry of charges into the accounts receivable system.
Corrections to third party claims as needed to ensure timely reimbursement for physician professional fees.
Follow-up on aged receivables to determine cause of delayed payment and perform necessary actions to resolve outstanding balance.
Review initial denials to determine next steps.
Respond to billing concerns.
Prevent future denials by communicating with revenue cycle leadership about root causes.
Participate in development of staff education and process changes relative to authorizations, coverage, and denials.
Participate in quality assessment and continuous quality improvement activities.
Comply with all appropriate safety and infection control standards.
Perform all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior.