Services the needs of our customers by accurately billing customer accounts, assuring timely remittance, and taking immediate action on issues that involve account integrity. Follows-up with payers to facilitate uninterrupted cash flow.
ESSENTIAL JOB FUNCTIONS:
1.List essential job duties and responsibilities. Items that have the most time spent on them should come first. Items that have the least time spent on them should come last.
2.Answers questions from customers, clerical staff, and insurance companies.
3.Identifies and resolves patient billing complaints.
4.Handles customer collection calls.
5.Documents activities in Enterprise Resource Planning (ERP) system in an efficient accurate and timely manner.
6.Ensures billing activity is handled correctly.
7.Evaluates and secures the needed prescriptions, PAs and medical justifications to facilitate payment of claims for initial and review/appeals payments.
8.Prepares and reviews clean claims for submission to various insurances either electronically or by paper.
9.Provides feedback to Group Team Lead regarding issues regarding accounts.
SUPPLEMENTAL JOB FUNCTIONS:
1.Performs additional duties as directed.
EDUCATION & EXPERIENCE REQUIRED:
Associates Degree required or 5 years equivalent experience
One or more years of Customer Service experience required
Basic skills with moderate level of proficiency; consults with senior peers on non-complex projects
KNOWLEDGE SKILLS & ABILITIES:
Must possess excellent communication skills
Must have the ability to practice proper phone and email etiquette
Skilled in answering a telephone in a pleasant and helpful manner
Ability to read, understand and follow oral and written instructions
Familiar with medical terminology and insurances i.e. HCPC/ICD-9 codes
Ability to edit and resubmit claims for payment
Working knowledge of Microsoft Office, particularly Word and Outlook
Conducts routine tasks as directed; works under clearly defined guidelines
Contributes to specific objectives and outcomes as directed
Little or no traveling required (less than 10%)
Ability to work extended hours on occasion
Owens & Minor, Inc.