JOB TITLE: Billing Specialist - Inpatient DATE PREPARED: 01/27/1997
DEPARTMENT: Billing Support Dept 003 DATE REVISED: 02/24/2015
POSITION REPORTS TO: Billing Office Supervisor
JOB SUMMARY: Responsible for billing all inpatient charges for all insurances. Responsible for auditing accounts after payments and doing write-off sheets. Reviews payment and prepared adjustments.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES: The list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. It is not necessarily descriptive of any one position in the class. The omission of an essential function does not preclude management from assigning duties not listed herein if such functions are a logical assignment to the position.
Bill inpatient charges to assigned company and follow up with denied claims
60 day report, EOBs in a timely manner using EASE as a tool for Medicare A claims
Review EOBs for accuracy of payments and postings
File appeals and follow-up if not responded in a timely manner
Request medical records for appeals/claims/insurance company inquiries
Review unpaid claim files every 30 days
Insurance paid letters to in-patient consumers
Answer consumer calls/return voice messages
Bill WIN clinic claims and closely work with consultant on medical billing questions and issues
Work closely with WIN staff; superbill, document notes, ICD-9 codes
Continue medical billing training/education to ensure accurate billing
Ability to perform other duties as assigned
KNOWLEDGE AND JOB SKILLS: Data Entry, Microsoft Word and Excel, Common computer skills, Knowledge of office equipment business math and typing.
JUDGMENT: Good judgment is integral to security, confidentiality and satisfactory work.
Education: High School diploma required.
Experience: One year experience in an office setting and one year computer experience required. Billing experience in a mental health setting preferred.
Personal Qualities: Ability and willingness to learn, initiative.
Special Factors: Maintains a professional atmosphere. Provides excellent customer service, good working relationship with employer, as well as, facility staff and external agencies. Regular communication with insurance companies.
Staff Development: Completes all requirements according to Individual Training Plan within the first six months of hire and annually.
POSITION CONTENT: This job description is not intended to be and should not be construed as an all inclusive list of all the responsibilities, skills or working conditions associated with the position. While it is intended to accurately reflect the position activities and requirements, Management reserves the right to modify, and/or remove duties and assign other duties as necessary.
Lifestream Behavioral Center