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Hospital Billing Representative
2 months ago
We are seeking a highly skilled and detail-oriented Hospital Billing Representative to join our team at Tucson Medical Center. As a key member of our revenue cycle team, you will be responsible for ensuring the efficient handling of all insurance billing, follow up, and collection activities.
Key Responsibilities- Communicate with insurance companies and state agencies to resolve billing and payment issues.
- Process and reconcile accounts, making independent decisions based on payer, coding, and billing guidelines.
- Exhibit excellent customer service skills and maintain effective public relations with patients, visitors, and staff.
- Assist management in maintaining or reducing account receivable (AR) days to meet industry standards and improve organizational cash flows.
- Provide information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence.
- Prepare and enter contractual write-offs as identified.
- Serve as an information resource to patients and hospital staff regarding insurance claims.
- Provide routine internal and external interface with internal and external department staff and insurance payers to resolve insurance-related accounts.
- Assist with problem-solving, inquiries, and customer interaction to ensure positive results.
- Analyze patient accounts, review explanation of benefit, and payer remits, and process contractual write-offs as needed.
- Train and assist in the implementation of new software programs/systems, system upgrades, and related technologies.
- Respond to insurance inquiries/requests as received either by mail or electronically.
- Ensure all billing edits are completed daily for claim submission.
- High School diploma or General Education Degree (GED); or an equivalent combination of relevant education and experience.
- Three (3) years of related experience in medical billing, medical insurance follow-up in a physician or hospital setting.
- Knowledge of medical insurance practices and policies and regulations.
- Knowledge of fields on UB/1500 claim forms.
- Knowledge of government and non-government uniform billing guidelines.
- Knowledge of medical terminology and coding related to hospital billing and/or professional billing.
- Skill in evaluating bills/claims for payers or patients in order to collect payment in a timely manner.
- Skill in providing assistance or training to other staff members in a team environment.
- Ability to read and comprehend instructions, short correspondence, and memos.
- Ability to write correspondence; ability to effectively present information in one-on-one and small groups situations to customers, clients, and other employees of the organization.
- Ability to meet productivity and quality review standards.
- Good organizational skills, adaptable to changes, and ability to prioritize workload.
- Ability to function well under stress and handle high volumes of work.
