Thorough understanding of healthcare patient accounting in areas of billing, insurance and collections
Knowledge of medical terminology, procedures , insurance plans and referral procedures
Knowledge of office practices and procedures
Excellent written and oral communication skills, with ability to learn quickly and independently
Interpersonal/human relations skills and ability to multi-task
Ability to respond to questions in a tactful and professional manner; organize/prioritize duties & work with constant interruptions
Ability to maintain records and files in an organized manner & comply with confidentiality requirements as mandated by law (HIPAA)
Collects and corrects, as necessary, all patient demographic, insurance and financial data, with an understanding of EOB / EFT / Denials / Claim Edits & Coding.
Facilitates patient referrals/authorizations as necessary; collects co-pays and outstanding balances.
Calculates and collects cash payments appropriately, ensuring daily reconciliation of change fund and deposit.
Provides exceptional customer service to patients and their families & create positive patient encounters.
Maintains current knowledge and compliance with related to Centers for Medicare and Medicaid Services, third party payers and organizational policies and procedures relevant to registration of patients.
Organizes and performs work effectively and efficiently & demonstrates standards of performance (ownership, teamwork, communication, compassion) that support patient satisfaction and principles of service excellence.
Business or similar degree OR 4 years Medical billing experience. Must have a working knowledge of CPT and ICD-9 codes, data entry systems for 3rd party billing, various types of payers and their reimbursement and denial patterns.
Responsible, Dependable, self motivated with high degree of initiative and enthusiastic attitude