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Form of workJob Description
Join a team of dynamic, results oriented professionals!
Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine.
Named among “Great Places to Work" by Becker’s Hospital Review
- Career Growth Opportunities
- Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment.
- 401K program (Discretionary matching funds available)
- GENEROUS Personal time off
- Eight Paid Holidays per year
- Quarterly incentive plans
- Business casual dress code
- Flexible work schedule
JOB DESCRIPTION OVERVIEW:
The Billing Senior Representative is responsible for maintaining accuracy and production for the departments, overseeing daily functions of employees, and training of department staff. The senior provides leadership and guidance to the representatives. The department’s goal is to examine and take action to support the provider’s interests in working outstanding AR, significant denials and appeals from insurance carriers, and processing payments and refunds.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Reviews ETM PIT reports daily to provide guidance to employees on effectively organizing and working assignments.
- Provides training to new staff, as well as, in service training of established staff.
- Reviews various denials to determine appropriate action based on carrier requirements.
- Reports any consistent errors found that affects claims from being processed correctly.
- Participates in departmental meetings.
- Communicates daily with various members of the team.
- Communicates with Billing Supervisor/Manager to keep them informed of any detected problems or changes.
- Performs quality audits and provides guidance for No Activity, Denials Resolution, Appeals, Authorization, Patient Accounts, Overprovisions, and Depository staff members.
- Assists with analyzing outstanding AR to provide suggestions on improving workflow.
- Assists with research, development, and documentation of appropriate denial procedures.
- Assists Billing Supervisor/Manager with documentation and maintenance of production standards within the department.
- Participate in meetings with Billing Supervisor/Manager to discuss production goals and progress updates.
- Sends departmental daily status to Billing Supervisor/Manager and Assistant VP of AR weekly.
- Reports errors or problems identified that affect accounts from being processed correctly.
- Review any unusual circumstances that may include offsets, unidentified payments, refunds, etc. with Billing Supervisor/Manager
- Oversees Payment Processing representative and provides backup as needed to ensure remits are retrieved in a timely manner.
- Ensures all deposits are reconciled in CCS weekly.
- Processes all refunds up to $2,000 within specified time period.
- Creates and updates policy and procedures for department.
- Performs any and all duties as directed by Billing Supervisor/Manager
