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The Medical Billing Support Services Associate I coordinate and performs all aspects of the processing of cash receipts from automated and manual payers in accordance with training materials, scripts, and standard operating procedures. Position also performs a variety of duties which may include reviewing overpayments, credits and recoupments. Making phone calls and/or using payers web portals to check patient eligibility or confirming status of pending recoupments.
Job Responsibility:
Coordinate and performs all aspects of the processing of cash receipts from automated and manual payers in accordance with training materials, scripts, and standard operating procedures
Performs a variety of duties which may include reviewing overpayments, credits and recoupments
Making phone calls and/or using payers web portals to check patient eligibility or confirming status of pending recoupments
Requirements:
Understand the practice billing and collection system and process requirements for the automated and manual cash posting, batch balancing and reconciliation of cash receipts in the insurance billing process
Researches and analyzes un-posted cash on hand and unapplied cash to ensure timely posting and resolution
Investigate unapplied cash receipts and resolve or escalate in a timely manner to lead or supervisor
Reverses balance to credit or debit if charges were improperly billed
Contacts insurance carriers as necessary to determine correct payment application
Reviews correspondences related to refunds and or recoupments
Responsible for evaluating credit balances and ensuring that refunds are issued to the appropriate payer in a timely and accurate manner
Work with Finance and other Revenue Cycle Departments to optimize the cash posting, balancing and reconciliation process
Communicates issues related to payment posting and refunds from payers to management
Updates correct payer and resubmits claims to the payers
Consistently meets/exceeds productivity and quality standards
Cross trained and performs billing processes such as charge entry, insurance verification of eligibility and ensuring correct payer is billed, reviewing, and resolving billing edits from worklists
Cross trained and performs customer service duties as such as answering patient phone calls, patient email inquiries or division email inquiries related to patient balances
Contacting insurance payers on behalf of the patient and or with the patient on the call to resolve patient responsibility concerns
Review and resolve self-pay credit balances
Special projects assigned by leadership for example annual audits, escheatment reviews, payer projects, compliance monthly audits
Special billing and collections for LOAs
Special billing and collections for Case Rates
Special billing and collections for Embassy Services
Performs other related duties as assigned by management team