Billing Coordinator

Facility:Crozer-Keystone Health NetworkDepartment:Gastroenterology @ Brinton Lake IISpringfield,PAAdministrative/ClericalFull-time,Day Shift,8-4:30Req #28937
Performs account follow-up on line items aged beyond HAN established limits by contacting patients and/or insurance companies. Contacts patients within established timeframe.
Researches patient complaints received via verbal or written communication. Identifies cause of problem. Promptly resolves problem.
Reviews all itemized bills to ensure completeness, accuracy and appropriateness of charges based upon CPT-4 coding, ICD-10 coding, patient demographics, and third party regulations/requirements.
Posts charges daily for services within 24 hours of office visit.
Completes and transmits third party billing with appropriate supporting documentation as required by third party regulations/requirements in accordance with established timeframes.
Establishes payment arrangements with patients according to established policies and procedures.
Processes insurance rejections in accordance with billing policies and procedures and payer guidelines. Takes appropriate action (i. e., initiates appeal process, makes medical record requests, corrects any inaccurate insurance information, etc.) to ensure proper claims submission.
Provides information in accordance with billing policies and procedures, upon request, to patients and/or insurance companies within established timeframes.
Reviews patient account balances routinely. Ensures that patients are billed, appropriately, payments are applied appropriately, and any needed adjustments are processed.
Investigates all credit balances. Identifies reason(s) for credit balance. Takes appropriate action to resolve the credit balance (i. e., request a refund check, apply an adjustment to the account, etc.,).
Documents all follow-up activities on a daily basis and in accordance with established billing policies and procedures.
Reviews A/R reports on a monthly basis. Identifies any accounts which are aged beyond established timeframes. Promptly reports any such accounts to both the Practice Manager.
May run specific computer reports as directed by supervisor(s).
Performs special projects as per supervisor or other management in an effective, efficient, and timely manner.
Posts hospital inpatient charges as directed by supervisor.
Performs clerical duties such as answering telephones and directing inquiries, setting up/maintaining files, and distributing incoming mail.
Works as a self-starter. Recognizes and performs tasks to be completed and/or services to be provided. Completes work independently.

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