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 RESPONSIBILITES 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

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