Job: Patient Accounts Coordinator (Biller / Collector)

Position Summary
The Patient Accounts Coordinator is responsible for the business and financial activities of the Center relating to coding and billing of medical procedures, comparing payments to insurance contracts, posting payments, appealing payments that do not correspond with contracted rates. This position will work with Surgery Scheduler on insurance issues to assure patients are informed of their coverage and what is expected of them financially for their procedure. This position will work with the regional contracting specialist to ensure the center is kept up to date with all contracting changes and will inform the Regional contracting specialist of any issues where the center is losing money on a procedure due to contracting. This position is responsible for ensuring the accuracy of the medical records department. This position will coordinate and train staff to provide efficient coverage for all accounts receivable tasks.

YOU MUST HAVE A MINIMUM OF TWO YEARS EXPERIENCE AS A MEDICAL BILLER!!

Responsibilities:
1. Directs or Performs coding, billing, and collection activities.
a. Printing of UB92 and HCFA 1500 forms for insurance companies and forward as appropriate.
b. Generating of monthly statements for patients with postings of insurance payments and patient responsibilities.
c. Responsible for enforcement of insurance contracts with actual activity and debiting contractual wire-offs at time of payment.
d. Manages accounts on monthly basis, the past due insurance accounts per the insurance claim Submission and payment protocol.
e. Manages accounts on monthly basis, the past due patient accounts per the cash policy and collection of Cash Accounts Protocol.
f. Primary negotiator for non-contracted companies.

2. Responsible to oversee/perform contact of patients prior to surgery in order to notify patient of financial obligations. Payment plans will be negotiated if necessary.
3. Responsible to oversee/perform the maintenance and follow up on lien cases and for obtaining the necessary signatures for all required parties.
4. Responsible oversee/perform discussing financial procedures and/or concerns with patients as requested by patient.
5. Responsible oversee/perform working with surgeon’s offices personnel to correct billing errors/issues.
6. Oversees/performs daily deposits for patient accounts.
7. Manages write off activity.
8. Responsible to oversee/perform outlying billing accounts, and to bring to Administrators attention.
9. Produces AR month-end reports.
10. Reviews aging each month to maintain proper follow up on accounts are being performed.
11. Compiles AR portion of Monthly Analysis Report.
12. Performs special duties and functions as assigned.
13. Ensures accuracy of Medical Records.
14. Tally monthly deficiency figures and write deficiency letters to physicians for action.
15. Field call from patients, physician offices and other callers regarding medical records.
16. Purge patient charts as needed and re-file them in the storage facility.
17. Back up front desk and scheduling as needed.
18. Maintain infection control book, including obtaining required physician signatures on monthly reports.
19. Maintaining pathology book, including monthly audit.

Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

1. College Graduate or qualified work related experience.
2. Minimum 1 years supervisory experience.
3. Minimum 3 years insurance/collections and financial experience
4. Type 40-50 wpm accurately.
5. Working knowledge of CPT/ICD-9 coding.
6. Knowledge of insurance payers and networks.
7. Knowledge of basic accounting/bookkeeping principles.
8. Computer literate.
9. Problem solving activities