SUMMARY – The purpose of this position is to perform all aspects of third party radiology billing.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Complete assigned work on a daily basis with attention to productivity, which may include charges, payments, billing inquiries, electronic submission, collections and A/R follow-up
Log payment batches, distribute claim edits and electronic exception reports
Electronic claim submission as assigned by management
Work rejections via EDI and/or payment denials
Ability to write claim inquiries in a concise and accurate manner to ensure payment of claims
Investigate and document errors in accounts to ensure records are accurately corrected
Help coworkers with any questions and/or problems
Ability to run EFTs and ERAs, when needed
Follow-up with insurance carriers and/or provider representative
Work A/R for an assigned insurance carrier as determined by management on a monthly basis
Answer phones within three (3) rings and responds to caller in a courteous and professional manner. Escalate phone calls to supervisor and/or management as required.
Participate as requested in cross-training effects to ensure maximal use of staff skills and maintain full coverage for billing functions
Must maintain confidentiality and comply with all HIPAA and Corporate Compliance regulations
All other duties as assigned
SUPERVISORY RESPONSIBILITIES – This position has no supervisory responsibilities
QUALIFICATIONS
High school diploma or equivalent
Two (2) or more years experience in accounts receivable resolution is required
Proficient computer skills
Training and Experience
Two (2) or more years experience in accounts receivable resolution is required
Knowledge, Skills and Competencies
Current, thorough working knowledge of physician third party billing regulations, processes, electronic billing, etc.
Good data entry skills
Knowledge of ICD-10 and CPT coding
Proficient with computer spreadsheet software
Ability to perform mathematical calculations
Working knowledge of business office equipment (i.e. fax machine, copier, keyboard, mouse, etc)
Physical Demands of the Position – The position requires sitting for 75% of scheduled shift as well as walking, standing, reaching and lifting folders or boxes (less than 25 pounds). Continuous use of computer keyboard, computer mouse and multiline telephone is required during scheduled shift.
Working Conditions – The position is performed in an indoor setting in close proximity to coworkers.
Disclaimer – The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.
