Job Description:

• PURPOSE OF JOB :

Assist in the financial and administrative operations of the Physician Billing Program. Assist in all phases of the revenue cycle for Physician Billing including charge entry, payment posting, accounts receivable follow up, and payer communication and education. Will utilize daily system reports to identify unpaid claims, contact payers, and follow payer regulations to rebill or send additional information.

• ESSENTIAL FUNCTIONS :

• Ongoing support and analysis of routine financial functions of the department, including billing,

Accounts receivable, aging reports, and productivity.

2. Responsible for accuracy of all submitted charges for physicians on a daily basis. Post provider services utilizing CPT, HCPCS, ICD9/10, with applicable modifiers.

3. Ongoing financial support and analysis of reimbursement issues and insurance contracts.

• Enter insurance data, prepare and submit claims to all insurance companies and patients,

receive remittance lists from insurance companies, identify payments and denials, apply

payments to patient records for all sources, and investigate and follow up on denied claims.

• Provides education and feedback to front end operations
• Assists in Facilitating Office Communication, Guest/Human Relations
• Other duties as assigned.

Job Qualifications:
QUALIFICATIONS :

• Education: High school graduate. Familiarity with computer data entry, coding, and billing procedures

B. Experience: Work experience in healthcare, preferably in a medical office setting.

C. Other Skills: Excellent organizational skills, detail focused, expertise in reimbursement

analysis. Effective communication skills. Good mathematical, grammatical and

communication skills. Good typing ability. Tact and diplomacy in handling patient

inquiries, physicians, and associates.