Responsible for ensuring the accuracy of facility invoicing through internal audit processes, maintaining knowledge of facility contracts and obligations, and billing facilities according to contract terms.
Key responsibilities include:
- Review facility invoices for accuracy against negotiated rates and contract provisions prior to invoicing.
- Maintain working knowledge of assigned facility contracts, including rate schedules, billing frequency, payment terms, and billing exceptions.
- Apply contract terms correctly when generating invoices and escalate discrepancies for resolution.
- Review and bill claims denied by the primary payer to determine facility responsibility.
- Prepare and send monthly facility invoices according to each contract's billing schedule and required format.
- Review aging reports to identify past-due accounts and prioritize follow-up.
- Follow up with facilities regarding outstanding balances through phone and written correspondence.
- Document collection and follow-up activity, including payment commitments, disputes, and resolution status.
- Escalate recurring payment delays or disputes to the Billing Manager.
- Respond to facility inquiries regarding invoices, balances, and contract terms.
- Update rates and billing parameters in the billing system according to contract specifications.
- Perform other duties as assigned.
Requirements & Qualifications
Qualifications
- High school diploma or equivalent.
- Minimum of 9 months of experience in a medical office setting.
- Prior experience with contract-based billing, facility billing, or collections/aging follow-up preferred.
- Ability to read, analyze, and interpret facility contracts and insurance plans.
- Intermediate knowledge of Medicare, Medicaid, and insurance benefits.
- Strong understanding of contract-based billing principles, including rate application, billing cycles, and facility payment terms.
- Skilled in reviewing aging reports and prioritizing collection follow-up.
- Accurate, high-level data entry skills with a strong quality focus.
- Excellent phone and customer service skills.
- Detail-oriented with strong organizational and problem-solving abilities.
- Proficiency with MS Office and billing systems, including rate tables and collections reporting tools.
Location
Texas, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
3 weeks ago
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