Billing Department

Job Description

Essential Functions Include But Are Not Limited To

• Acknowledge and greet every person that enters billing office with eye contact and a smile
• Speak to every patient on the phone with respect and a smile.
• Enter all daily charges from previous day sign in slips. Follow up with providers for any charges not corresponding to diagnosis codes.
• Enter all surgery and OB delivery charges.
  • Print Pt Information sheet from PrimeSuite, surgery report, delivery report, and pathology report from Epic/BHE
• Post all Insurance EOB’s – Download from Availity or Insurance carrier direct as well as hard copies from mail
• Post Patient Payments – both in Prime Suite and Zirmed
• Post CCH (Collection Agency) payments
• Reconcile daily transactions and record on daily Deposit report
• Prepare bank deposit and process remote deposit to bank.
• Scan all EOB’s and daily sign in slips into Impact system.
• File/submit all Primary and Secondary Insurance claims daily.
• Follow up on old claims, appeal denied claims.
• Process all FMLA paperwork and forms
• Contact Insurance carriers for patient eligibility and benefits
  • Process all precertifications for surgeries, c-sections, and inductions.
  • Process precerts for MRI’s, CT scans, and ultrasounds.
  • Verify and calculate all OB Prepay charges to patient. Complete OB Prepay patient paperwork.
  • Explain to patients OB Prepay policies and follow up on collecting OB Prepayments.
  • Process precerts for Mirena, Skyla, Nexplanon, Reclast, Prolia and Boniva and coordinate with GYN nurse.
  • Contact patients to inform of financial responsibilities – set up payment plans if necessary
• Run reports to check Patient Credit balances, Suspended Balances, OB Prepays due, Outstanding Claims, etc.
• Retrieve, sort and distribute mail

Additional Responsibilities May Include

• Know all Front Desk Administration processes
• Provide coverage to front desk through lunches and if front desk employee is absent.
• Know and be able to provide clear and accurate directions to the office
• Perform accurate data entry
• Maintain billing office area in an organized fashion
• Order and maintain stock of office forms, mail machine, and printers
• Be knowledgeable of care and treatment standards and appointment types
• Adhere to office policies and procedures as described in Employee Manual

Essential Functions of All Staff

• Treat every patient with respect and kindness
• Know All Women OB/GYN’s mission statement
• Be a team member
• Establish and maintain effective working relationships with providers, co-workers and management
• Effectively cope with typical job stress
• Adhere to appropriate code of conduct, ethics and HIPAA guidelines
• Perform other duties as assigned