Medical Biller - Patient Account Representative

Essential Functions

• Responsible for billing all patient claims in a timely manner
• Responsible for financial assessment of patients, calculation of all TDFPS files, charges and billing, Performs QA of information on admissions, collection of deductibles when needed. 
• Assist in batching of deposits.
• Completes all adjustments from TDFPS. 
• Process daily day-ends for the hospital, assist in the close of the month, preparations and reporting;
• Calculates deposits for the hospital and works closely with the CFO. 
• Performs log requirements for Medicaid patients. 
• Assists in the documentation of correspondence. 
• Business auditing of charts to assure proper billing and documentation.  
• Review claims issues, make corrections as needed, and rebill. Utilize claims clearing house to review and correct claims and to resubmit electronically when available.
• Responsible for printing daily billing reports both electronic and paper claims. Monitor validation percent.
• Work daily claims rejection lists.
• Responsible for posting insurance and patient payments, contractuals, and all other adjustments.
• Review explanation of benefits to ascertain that claim processed and paid correctly. If processed incorrectly provide detail information to collector for follow up.
• Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.
• Maintain daily cash log noting any variances on a daily basis. Gathers and interprets data from the system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.

Job  requirements

• Must have a high school diploma or GED. 
• Minimum 5 years of job-related experience; with emphasis on admissions and/or collections experience in a hospital setting required; psychiatric experience preferred. 
• Must have strong written and verbal skills; ability to deal effectively with all levels of hospital management and the public. 
• Must be able to demonstrate average to high math skills. 
• Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint.
• Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality.
• Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.
• Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level.
• Self-motivated with strong organizational skills and superior attention to detail.
• Must be able to manage multiple tasks/projects simultaneously within inflexible timeframes.  Ability to adapt to frequent priority changes.
• Capable of working within established policies, procedures and practices prescribed by the organization.