Job Description: PURPOSE: (This is an onsite role)
This position ensures that the more complex accounts are accurately invoiced, reconciled and outstanding payments are collected so that the core system is correct and the client is satisfied. In accomplishing its accountabilities, the position must interact and coordinate with accounts, subscribers, finance, systems and other internal departments as well external parties.
This position is responsible for serving as point of contact for internal and external customers regarding all complex billing and collection issues. The associate will assist in the clarification and development of process improvements and inquiries, assure payments related to services from all sources are recorded and reconciled timely in order to maximize revenues. The incumbent may be required to assist with projects for upper management by providing analytical and reporting support for such purposes as: operational efficiency / quality metrics and productivity analysis, end-of-month accounts receivables reconciliation, and monthly account aging reports.
ESSENTIAL FUNCTIONS:
25% Researches and responds by telephone, or in writing to complex patient inquiries regarding billing issues and problems.
25% Reviews billing forms for accuracy and completeness before sending to payors.
20% Assists in the preparation of monthly billing and accounts receivable reports.
15% Assists with complex billing issues, including contacting insurance carriers to confirm patient eligibility and referral information.
10% Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the system in an accurate and timely manner.
5% Adhere to HIPAA guidelines and other relevant state and federal regulations, and company policies regarding to compliance, integrity, patient privacy and ethical billing practices.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education Level: High School Diploma or GED
Experience: 3 years experience in a Billing, membership enrollment, member services, claims operations or Finance role
Preferred Qualifications
Knowledge, Skills and Abilities (KSAs)
Proficient in Microsoft Office applications., Advanced
Provide excellent customer service with a focus on department goals., Advanced
Works well in environment with firm deadlines; results oriented., Advanced
Additional Skills: Customer service experience, Billing and collections, Data entry background, basic excel experience, Outlook experience, great communication skills and time management skills
**Talteam Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.** •
Last updated on Nov 27, 2023