What are the responsibilities and job description for the Billing Specialist position at East Ohio Regional Hospital?
Description:
JOB SUMMARY:
Responsible for managing patient account balances including accurate claim submission, compliance will all federal/state and third party billing regulations, timely follow-up, and assistance with denial management.
RESPONSIBILITIES:
- Submits accurate and timely claims to third party payers.
- Resolves claim edits and account errors prior to claim submission.
- Performs daily tasks in appropriate sequence to achieve optimal productivity, accountability and efficiency.
- Contacts third party payers to resolve unpaid claims.
- Utilizes payer portals and payer websites to verify claim status and conduct account follow-up.
- Researches and processes mail returns and claims rejected by the payer.
- Reconciles billing account transactions to ensure accurate account information
- Processes billing and follow-up transactions in an accurate and timely manner.
- Develops and maintains working knowledge of all federal, state and local regulations pertaining to hospital/physician billing.
- Monitors accounts to facilitate timely follow-up and payment to maximize cash receipts.
EDUCATION and EXPERIENCE:
- High School diploma or equivalent.?
- One (1) year medical billing/medical office experience.
- Excellent oral and written communication skills. Working knowledge of computers, medical terminology preferred, understanding of business math and ICD-10
PHYSICAL REQUIREMENTS:?
- Must be able to sit for extended periods of time.
- Must have reading and comprehension ability.
- Must be able to communicate effectively.
- Must have manual dexterity to operate keyboards, fax machines, telephones and other business equipment.