Position Summary: This position reviews charges, submits charges to the clearinghouse, reviews denials, posts payments and attempts to collect outstanding patient balances.

Essential Position Functions: · Welcomes patients in a friendly and professional manner.

· Answers patient questions regarding their bill in the office and over the phone.

· Runs patient balance report weekly.

· Contacts patients regarding their outstanding balances to collect.

· Offer payment plans to patients with high balances to collect to help the patient not go to the collection’s agency.

· Add bankruptcy information to the patient's account and update it as we get more information.

· Assist with various paperwork and/or miscellaneous tasks.

· Audits patient accounts, assess accuracy and collectability of accounts receivable balances, and initiate appropriate collection actions.

· Processes patient payments received in the mail (credit card payments and checks).

· Send out final notices to patients for unpaid balances.

· Transfer balances to the collection agency for non-paid balances after 4 straight months.

· Respond to collection agency emails regarding patient disputes and requested information.

· Send updates to the collection agency when patients make payments on their collection balance.

· Review payment plan accounts to ensure we are receiving payments.

· Reviews the unallocated accounts to allocate payments correctly on the patients’ accounts.

· Posts Medicaid remittance and works the denials.

· Works denials on aging report.

· Communicates with other departments regarding patients as needed.

· Accepts ownership and accountability for successful completion of assigned functions and achievements of goals.

· Communicates with Manager & Practice Administrator of issues/concerns that arise in payments.

Competencies: · Accuracy— Ability to perform work accurately and thoroughly.

· Communication— Ability to communicate effectively verbally and in writing.

· Computer Skills—Proficient ability to use a computer and electronic medical record.

· Confidentiality—Maintain patient, team member, employer confidentiality. Comply with all HIPPA regulations.

· Customer Service Oriented— Friendly, cheerful, and helpful to patients and others. Ability to meet patients and others needs while following office policies and procedures.

· Detailed Oriented— Ability to pay attention to the minute details of a project or task.

· Flexibility— Ability to adapt easily to changing conditions and work responsibilities.

· Multitask— Ability to handle more than one task at one time.

· Positivity— Display a positive attitude and is a positive agent for change.

· Teamwork—Work as part of a team and collaborate with co-workers.

· Working under pressure— Ability to complete assigned tasks under stressful situations.

Education and Experience: · High school education or GED equivalent.

· Minimum two years of medical office experience.

· Minimum two years of experience in medical billing.

· Strong organizational skills including the ability to prioritize and manage multiple tasks in a dynamic environment.

· Strong analytical skills: ability to quickly identify problems and find effective solutions.

· Ability to make independent decisions.

· Ability to understand and interpret financial data.

· Working knowledge of contracted insurance plans.

· Knowledge of various insurance plans/payers (HMO, PPO, Medicare, Medicaid) is required.

· Good verbal and written communication skills.

· Good telephone communication skills.

· Demonstrated ability to use a computer with Microsoft Word, Outlook and EMR software.

· Excellent customer service is required.

· Ability to maintain confidentiality and thorough knowledge of HIPPA policies and procedures.

· Ability to establish and maintain effective relationships with staff, patients, and families.

· Willingness to take responsibility for actions, act positively upon feedback from others.

· Must be dependable and able to work with minimal supervision.

Work Environment & Physical Demands: · Environmentally controlled medical office environment · Fast paced environment with occasional high-pressure situations · Frequent interaction with a diverse population including providers, patients, insurance companies and other members of the public. · Frequent sitting, writing, typing, grasping, and speaking.

· Occasional standing, walking, reaching, bending, stooping, lifting, and carrying.

· Lifting, carrying, pushing, and pulling up to 25 pounds.

· Frequent use of computer, keyboard, copy and fax machine, and phone.