[Hiring] Billing Follow-Up Representative @CompuNet Clinical Laboratories

Role Description

Under the supervision of the Billing Department Manager, perform the daily account processing tasks of the Billing Department including:

• Billing data entry
• Third party billing and follow up
• Review denials and resubmit claims
• Answer incoming and place outgoing calls to both patients and clients
• Maintain positive internal and external working relationships with patients, clients, and third party payers

Essential Duties and Responsibilities Assigned:

• Maintain organized workflow to allow efficient processing of accounts and smooth transition of job duties during absences
• Follow department standard processes and consult with immediate supervisor when questions arise
• Exhibit good customer service skills when dealing with internal and external customers
• Actively engage in behaviors that foster teamwork within the department and organization
• Meet or exceed department standards for quantity and quality of work
• Possess working knowledge of relevant compliance regulations and apply this knowledge to daily job duties
• Comply with all departmental, company, and regulatory policies and procedures
• Maintain statistical data as required
• Perform additional duties and projects as assigned

Specific Departmental Job Duties as Assigned:

• Ability to accurately perform order entry
• Research and resolve any missing information from the Client orders
• Ability to use translation tools to enter codes received from other departments into the appropriate billing systems
• Strong communication skills needed for collaboration with both internal and external departments as well as patient/client calls
• Apply payment detail to client and patient accounts, including contractual disallowances, and patient copays/deductibles
• Review over payments, initiating refunds or correcting misapplied payments as appropriate
• Knowledge of reading and understanding various payer’s Explanation of Benefits
• Review un-adjudicated claim reports and contact insurance carriers to determine reason for non-response
• Perform follow-up as appropriate to resolve outstanding accounts
• Process Medicare denials for medical necessity and monitor payer rejections and denials for trends
• Review claim development reports for insurance denials; contact insurance carriers to determine denial reasons; work with carriers to rectify unpaid claims
• Ability to handle fast paced, high call volume environment with above average multi-tasking skills
• Possess strong focus on positive customer impact and utilize verbal and written communication effectively
• Research collection accounts as requested by patients or collection agencies
• Review system error codes and make corrections to accounts

Qualifications

• High school graduate or equivalent required
• Previous experience in medical billing environment preferred
• Working knowledge of Medicare and other third party claims processing, ICD-10 and HCPS/CPT coding and medical terminology highly desirable

Requirements

• Visual acuity and hand-finger dexterity to work at computer for extended periods
• Ability to sit at computer work station for extended periods
• Sound reasoning ability and independent judgment
• Ability to work within specified deadlines and timetables
• Excellent communication and people skills
• Ability to handle stressful situations in a calm manner
• Familiarity with and adherence to safety, ergonomic and health policies of the Company
• Compliance with all PPE requirements when in the laboratory or other biohazard areas
• Completion of required safety training and health evaluations in a timely manner
• Anticipation of safety hazards, acting upon unsafe situations and promoting safety awareness

Benefits

• Medical, Dental, and Vision coverage
• Company paid life insurance
• 403b match
• Paid holidays, vacation, sick and personal time