Billing Specialist

2 weeks ago

Santa Fe Springs, United States SUNRISE RESPIRATORY CARE Full time $18 - $23
Job DescriptionJob Description

Qualifications

• Education or experience equivalent to a high school diploma is required.
• At least one year related experience is required.
• Must be 18 years of age or older.

Responsibilities

• Monitor and resolve electronic billing and claims submission.

• Performs various collection actions including contacting customers by phone to explain our billing system and policies
• Review, print, and mail invoices and patient statements.
• Review Aging report on a regular basis, following up on late payments, and updating management regarding payment information.
• Bill unpaid balances to customer or secondary payer

• Researches any overdue account balance that is fully or partially unpaid and follows up by mail and/or phone to insurance carriers or customers on delinquent payments.

• Reviews claims denied for payment and underpaid claims. Verifies payment information adjustments to supervisor.

• Coordinates collection activities for delinquent accounts by preparing information for external collection agencies or attorneys.

• Identifies and resolves customer inquiries and/or complaints regarding account status.

• Researches customer's accounts thoroughly and documents appropriately.

• Resolves discrepancies and prepares adjustments and refunds as necessary.

• Coordinates collection agency communication.

• Ensures that all information regarding collection activity of account is entered accurately into the billing system.

• Initiates payments and resubmits bills as necessary.

• Pursues patient for payment obligations when insurance defaults as permitted by law or contractual relationships.

• Ensures that system information is updated and accurate based on payor requirements.

• Ensures that practices are consistent with payor requirements for timely reimbursement and compliance.

• Implements and ensures compliance with accounts receivable policies, procedures and "best practices".

• Ensures compliance to company policies and procedures as well as federal, state, local, and JCAHO regulations.

• Performs other related duties as directed by supervisor.

Physical Demands


The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Regularly required to use hands to write, use computer, use a hand held device, telephone and use a document imaging system and manipulate documents.
• Regularly required to read documents and write neatly, legibility and transcribe accurate information and numbers/values.
• Employee continually engages in activities that require talking and hearing.
• This position requires frequent variations including sitting, walking, standing, kneeling, reaching or stooping.
• Specific vision abilities required to perform this job safely include close vision, distant vision, night (low to limited light) vision and the ability to adjust focus to work on a computer and read documents.

• Strength Aspects:
- Frequently required to stand and lift objects from 1” to 36” high with weights ranging from 5 lbs. - 30 lbs., and carry objects for distances ranging from 1 ft. -350 ft.
- Frequently required to grip objects with hands, up to 15 lbs. of force.
- Frequently required to grip objects with fingers, up to 10 lbs. of force.

• Body Position and Flexibility Elements
- Frequently required to bend down at the waist to a torso level of 24” above the floor.
- Frequently required to reach, on average, 20” away from the body.
- Occasionally required to kneel on one or both knees and squat to perform many of the above tasks.


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