Summary of Duties: Responsible for collecting, posting and managing account
payments. Responsible for submitting claims and following up with insurance companies.
Supervision Received: Reports to Billing Supervisor and named Office Manager
Prepares and submits clean claims to various insurance companies either electronically or by paper.
Follows up with insurance denials in a timely manner.
Processes payments from insurance companies in a timely manner.
Gives instructions to front desk about procedures that would prevent insurance
Answers questions from patients, clerical staff and insurance companies.
Prepares, reviews and sends patient statements
Identifies and resolves patient billing complaints.
Evaluates patient’s financial status and establishes budget payment plans. Follows
and reports status of delinquent accounts.
Performs various collection actions including contacting patients by phone, correcting
and resubmitting claims to third party payers.
Reviews accounts for possible assignment and makes recommendations to the Billing
Supervisor, also prepares information for the collection agency.
Generates monthly reports to Billing Supervisor.
Conducts self in accordance with employee manual.
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
2-5 years MEDICAL Billing experience, preferebly in Urology billing.
Currently using ADP AdvancedMD knowledge of the software is a plus.
Knowlege of Excel, Microsoft Word.
Ability to multitask and take directions
Strong organization ability.