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Form of workJob Description
Overview: The primary function of this role is providing support to billing assistant and billing team. Review the insurance AR to identify areas of focus. Audit billing to ensure charges are billed out in a timely manner.
Duties and Responsibilities:
• Work with billing company on insurance denials and research the reasons for denial.
• Audit patient accounts to ensure accuracy in billing (no charges missed) by reviewing hospital cards, hospital list and patient appointment schedule.
• Run insurance AR reports more than 90 days old and identify issues and trends.
• Work with the billing company to reduce insurance AR monthly.
• Provide support to billing assistant/liaison.
• Monitor clearinghouse and ensure patient statements are being sent out. Work failed patient statements and update missing information into billing software.
• Provide hospital list to appropriate personnel to import reports to billing software.
• Generate patient refund requests for finance. Mail patient refunds and post refund check to system.
• Answer escalated patient billing issues.
• Obtain AUTH/referral for Endo center when it’s only required at the facility level.
• Ensure timely response to calls, e-mails and other verbal or written correspondence.
• Review and work insurance correspondence
• Work billing exceptions from billing company
• Maintain communication with physician’s secretary regarding missing referrals or prior authorization before appointments.
• Make site manager aware of patients on the schedule that are 24-48hours away from being seen with referral and/or eligibility issues.
• Assist in the training of new Financial Liaisons and other RCCs that are being cross trained.
• Stay current and up to date with billing guidelines and updates with top payers.
• Attend monthly billing seminar (Ask Mueller).
• Cover other RCC functions when on vacation or out on leave.
Duties and Responsibilities:
• Work with billing company on insurance denials and research the reasons for denial.
• Audit patient accounts to ensure accuracy in billing (no charges missed) by reviewing hospital cards, hospital list and patient appointment schedule.
• Run insurance AR reports more than 90 days old and identify issues and trends.
• Work with the billing company to reduce insurance AR monthly.
• Provide support to billing assistant/liaison.
• Monitor clearinghouse and ensure patient statements are being sent out. Work failed patient statements and update missing information into billing software.
• Provide hospital list to appropriate personnel to import reports to billing software.
• Generate patient refund requests for finance. Mail patient refunds and post refund check to system.
• Answer escalated patient billing issues.
• Obtain AUTH/referral for Endo center when it’s only required at the facility level.
• Ensure timely response to calls, e-mails and other verbal or written correspondence.
• Review and work insurance correspondence
• Work billing exceptions from billing company
• Maintain communication with physician’s secretary regarding missing referrals or prior authorization before appointments.
• Make site manager aware of patients on the schedule that are 24-48hours away from being seen with referral and/or eligibility issues.
• Assist in the training of new Financial Liaisons and other RCCs that are being cross trained.
• Stay current and up to date with billing guidelines and updates with top payers.
• Attend monthly billing seminar (Ask Mueller).
• Cover other RCC functions when on vacation or out on leave.
