RESPONSIBILITIES

• Responsible for Follow-Up on all medical claims, including self-pay and commercial and government payor claims.

• Maintains a working knowledge of other positions in the PFS office.

• Serves as backup for biller, cash poster, and charge poster.

• Maintain knowledge of billing/collecting laws and continue education and training on proper billing and coding procedures.

• Aggressively works to reduce AR by following up on all accounts by telephone, letters, email, or any other means available.

• Works on rapid resolution of issues between facility, doctor’s office, patient, or other interested parties.

• Works denials and underpayments as assigned.

• Helps with appeals as assigned.

• Sorts, responds, and files correspondence.

• Make any corrections to demographics or insurance information as necessary.

• Documents all conversations, mailings, etc., on the computer system.

• Services as a customer service rep by answering incoming calls or visits from patients, insurance companies, doctor’s offices, or other interested parties by answering questions or concerns or directing the appropriate person who can help.

• Receives payments via telephone and processes accordingly.

Education: Two years of college preferred.

Experience: A minimum of two (2) years of experience performing follow-up activities in a medical office environment is required. Additional experience in billing hospital claims is strongly desired. Special Skills: Acute attention to detail; working knowledge of Excel and Word; excellent math and reasoning skills; knowledge of claims processing/billing (CPT-4 and ICD-10 codes) and medical terminology. Must have good customer service, communication (both oral and written), organizational skills, and basic computer skills.