Billing/Collections Clerk
Company: American Home Health Care
Location: Pleasanton
Posted on: October 12, 2024
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Job Description:
Description: Position Overview:
The Patient/Medical Collection Specialists are responsible for all
functions related to the collection of payment on patient accounts.
This position obtains necessary verification insurance eligibility
and collection of monies owed. This position works with management
and other staff to identify and resolve issues that threaten
billing and reimbursement. This will be in an office position.
Job Responsibilities
--- Communicate directly with patients regarding their financial
responsibility.
--- Makes telephone, text, or letter contact with all patients with
balances.
--- Document all calls timely and accurately in the patients'
account in the billing system.
--- Runs reports on outstanding patient/self-pay A/R on a
daily/weekly basis.
--- Establish payment arrangements per company policy.
--- Oversee the Hardship program and needs.
--- Manage outstanding self-pay accounts.
--- Contact insurance companies to check eligibility and benefits
via phone or online portals.
--- Updates patient demographics not including or limited to
patient address, email, phone number, autopay, etc.
--- Work the Patient Hub/AR dashboard.
--- Assist with unidentified/unverified payments.
--- Monitors collection agency report of payment on a regular
basis.
--- If it is determined that a refund is due to the insurance
company and/or patient, complete refund-request form.
--- Perform insurance claim follow-ups for insurance denials and
appeals.
--- Assist with other billing/collection duties, as needed.er
accurate documentation and appropriate insurance for
verification.
--- Initiate authorizations and perform Key User duties with
minimal errors.
--- Resolve customer billing and payment inquires.
--- Discuss payment arrangement options and provide the share of
costs for Home Health Services.
--- Accurately document the patient's insurance plan benefits and
required authorizations.
--- Coordinate with admission and scheduling departments to ensure
timely patient care.
--- Assist in gathering necessary reports, statistics, outcomes for
the department and agency.
--- Provide timely and effective customer service to patients and
their representatives as needed. Requirements: Minimum
Qualifications:
--- High School Diploma or equivalent; Associates Degree
preferred
--- 2 years of office experience in medical billing / collections
required
--- Must possess knowledge of Explanation of Benefits (EOB's) and
understanding of copays, coinsurance, deductibles and denial
codes.
--- Attention to detail and have the ability to prioritize
independently
--- Prior experience using IBM Compatible systems and equipment
--- The ability to multi-task and in a busy office environment
--- Proficient customer service skills
--- Intermediate knowledge of MS Office
Physical Demands and Working Environment
The conditions herein are representative of those that must be met
by an employee to successfully perform the essential functions of
this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential job
functions.
Environment: Standard office setting; tasks are regularly performed
without exposure to adverse environmental conditions; frequent
interaction with staff and the general public. The role requires
that you wear a headset, access and work within multiple systems
while addressing callers' concerns in real time.
Physical: Incumbents require sufficient mobility to work in an
office setting; stand or sit for prolonged periods of time; operate
office equipment including use of a computer keyboard; light
lifting, carrying, pushing and pulling; ability to verbally
communicate to exchange information.
Vision: See in the normal visual range with or without correction;
vision sufficient to read computer screens and printed documents;
and to operate assigned equipment.
Hearing: Hear in the normal audio range with or without
correction.
PIa693f21916e4-37248-35772593
Keywords: American Home Health Care, Union City , Billing/Collections Clerk, Accounting, Auditing , Pleasanton, California
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