Under general direction, the Billing/Follow-up Rep Facility (Remote) is responsible for completing tasks associated with specific assignments. Duties may include customer service, collections, cash posting, billing, and related patient account tasks as assigned by CBO Management. The position is expected to complete assignments within established quality and productivity standards.
Billing Responsibilities
- Bill hospital and physician claims for inpatient and outpatient services within insurance filing limits.
- Interpret third-party payer requirements and bill appropriately for facility and physician services.
- Maintain patient accounts in billing and claims editing systems.
- Respond to patient and commercial inquiries by phone or written correspondence.
- Contact insurance companies regarding unreleased or unprocessed bills.
- Work with other departments and insurance companies to resolve claim edits.
- Coordinate and monitor billing activities related to bone marrow transplant package pricing.
Follow-Up Responsibilities
- Perform follow-up with third-party payors to obtain payment or resolve patient accounts within filing limits.
- Maintain patient accounts in hospital and claims editing systems.
- Respond to patient and commercial inquiries regarding patient accounts.
- Contact insurance companies regarding outstanding bills.
- Follow up on the Age Trial Balance Report monthly.
- Resolve issues involving third-party payor and self-pay claims.
- Develop relationships and work professionally with vendors as assigned.
Requirements & Qualifications
- High School Diploma or GED
- Associate degree in Health Care, Finance, or a related area preferred; equivalent combination of education and relevant experience accepted
- Working knowledge of CPT, HCPCS, and ICD-1
- One year of experience in hospital financial or patient services preferred
Location
Michigan, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
3 months ago