Responsible for the hospital insurance billing process between the hospital, insurance companies, federal agencies, and third-party payers. This role audits patient accounts to help ensure procedure, charge, and coding accuracy, collects payments from commercial insurance companies and government payers, and supports performance improvement and quality improvement activities.
Key responsibilities include:
- Coordinating payment processes and submitting claims to proper agencies and insurance companies
- Maintaining professional working relationships with insurance companies, government agencies, and third-party payers
- Resolving account issues through independent follow-up
- Managing overpayments and communicating refund needs to the Business Office Director
- Assisting with receipt processing and adjusting patient bills for credits, debits, and balances
- Understanding pre-certification and referral processes related to assigned insurance
- Documenting correspondence and conversations on patient accounts
- Supporting billing-related communication with other hospital departments
- Resolving unpaid insurance claims and assisting patients and families with billing questions
- Preparing daily deposits and maintaining accurate cash drawer balances
- Processing payment transactions, balancing electronic remittance advices, and issuing receipts
- Posting adjustments, contractuals, and rejections
- Entering transactions accurately and in a timely manner
- Handling petty cash, daily revenues, and cash drawer security procedures
- Receiving payments in the Admitting Department and at the business office counter
- Providing accurate documentation on patient accounts when needed
Requirements & Qualifications
Professional requirements:
- Adheres to dress code; appearance is neat and clean
- Completes annual educational requirements
- Reports to work on time and as scheduled; completes work within designated time frame
- Wears identification while on duty and uses computerized time system correctly
- Completes hospital in-services as required
- Uses internet-based insurance resources for education, eligibility, follow-up, and billing as applicable
- Maintains patient confidentiality at all times
- Performs department in-services
- Maintains a good rapport and cooperative working relationship with physicians, departments, and staff
- Represents the organization in a positive and professional manner
- Attends committee, CQI, and management meetings as appropriate
- Follows policies and procedures regarding operations, fire safety, and infection control
- Complies with organizational policies regarding ethical business practices
- Communicates the hospital mission, vision, and core values
- Demonstrates knowledge of emergency preparedness, disaster packets, PPE, and code responsibilities
- Follows William Newton Hospital policies and demonstrates familiarity with the employee handbook
Regulatory requirements:
- High school graduate or equivalent
- Thorough understanding of insurance plans, government agencies, Medicare, and Medicaid preferred
- Previous billing experience preferred
Location
Kansas, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
2 weeks ago