Billing Generalist

Description

JOB SUMMARY AND SCOPE

To perform the batching and keying of charges to patient accounts, as well as the batching and keying of payments by third party payors, insurance companies, and self pay payments when necessary.

ESSENTIAL JOB FUNCTIONS

• Batch and key paper payments, electronic payments, key charges and adjustments to patient accounts with a high rate of speed and accuracy.
• Demonstrate appropriate knowledge of cash and contractual allowance posting by payor and general ledger account number.
• Demonstrate appropriate knowledge of electronic posting procedures.
• Key all checks within 2 business days of receipt in department.
• Research any keying errors or questions associated with a potential problem on a patient bill within 2 business days of notification.
• Communicate with billing, health information and other departments as needed to maximize work flow and address account issues or errors.
• Communicate issues that cannot be resolved to Supervisor immediately.
• Perform double checks on posting accuracy as needed.
• To maintain insurance logs, submit any appropriate Journal Entries to Accounting and print all logs for the CFO on a monthly basis as applicable.
• To sort incoming mail on a daily basis.
• To help train new employees.
• Seeks out needed information by staying informed and involved by attending meetings, reading memos, policies, meeting minutes, newsletters, email and other appropriate information in a timely manner.
• Reliable attendance and punctuality, including observing appropriate break times and extending a scheduled shift when necessary to meet patient demands.
• Performs duties in a safe manner, in compliance with all safety policies and procedures.
• Complies with the Code of Conduct and all appropriate policies and procedures.
• Other duties, as assigned, that are relevant to the position and department.

Requirements

MINIMUM REQUIREMENTS

• High school diploma, with preference given to an Associate Degree or equivalent experience in a related field.
• Ability to type a minimum of 50 words per minute with no mistakes.
• Basic computer knowledge as well as ability to use 10 key calculator.
• Adept at mathematical calculations with a high rate of accuracy.

PHYSICAL EFFORT AND ENVIRONMENT

Moderate: Occasionally lifts up to 25 pounds independently. Occasionally pushes/pulls 100 pounds. Stands or walks often.

EXPOSURE RISK

Exposure Category III: Employee not reasonably expected to be at risk for exposure to blood borne pathogens.

QUALITY IMPROVEMENT

• Maintains current knowledge of the hospital-wide Quality Improvement Program.
• Collaborates with management to improve the effectiveness of the department through the Quality Improvement plans and processes.
• Participates in the departmental and hospital-wide Quality Improvement activities as directed by the manager.

COMPLIANCE

• Adheres to the federal, state, and local statutes and regulations.
• Adheres to the Compliance Program policies and procedures of Down East Community.
• Adheres to all Privacy and Security policies and procedures of Down East Community.
• Communicates any concern related to compliance issues to manager of department or Compliance Officer.
• Communicates any concern related to confidentiality issues to the Privacy Officer.

*DECH is an equal opportunity employer.