Biller

PURPOSE STATEMENT

This position is responsible for account resolution of assigned accounts once they have final billed until the balance becomes self-pay.

ESSENTIAL FUNCTIONS

• Use AIDET when greeting patients/customers either on the phone or in person.
• Assist patients/customers with the concerns and questions on all bills from WMMC and WMMC clinics, as assigned.
• Trend claim denials, advises supervisor of trends in order to improve processes with the department.
• Follow up on denials aggressively with focus on AR reduction. Initial and subsequent follow up should be based on payer turnaround time and contract requirements.
• Complete the following duties daily, process late charges, correct claim rejections and maintain AR within current HARA benchmarks.
• Demonstrates the ability to maintain the responsible AR with no more than 30% over 90 days.
• All messages left before 330PM Monday through Friday must be returned with 2 hours.
• Handle inquiries from patients/customers as needed after identification has been verified.
• Assist co-workers as needed/requested.
• Maintain a positive rapport with all customers.
• Appropriately handles telephone and email communications.
• Support the Medical Center’s Mission/Vision/Philosophy positively.
• Maintain regular and predictable attendance.
• Perform other essential duties as assigned.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS

• High school diploma or equivalent.
• Previous medical billing/coding experience required.
• Good understanding of medical insurance billing/coding.
• Must be self-motivated and have the ability to work within the established policies, procedures and practices prescribed by the hospital/clinic.

PHYSICAL/MENTAL REQUIREMENTS

• Must be able to sit and stand, intermittent 8 to 10 hours a day.
• Must be able to use standard office equipment, including the telephone and computer keyboard.
• Continuously works under pressure of near 100% accuracy while meeting inflexible deadlines.
• Continuously utilizes manual/bi-manual dexterity, near vision, speech, and hearing.
• Frequently stands, walks, sits and utilizes eye/hand coordination and color definition.
• Occasionally reaches above shoulder, regularly required to life and/or carry up to 40 lbs.
• Occasionally walks on uneven surfaces.
• Ability to travel 1% of the time, including flying and driving rental cars.
• To accommodate travel, must be able to transport own suitcases and portable computer estimated at 25 pounds.