Job Description

Prepare and submit accurate claims to insurance companies and other third-party payers in a timely manner. Review patient charts and insurance information for accuracy before claim submission. Resolve discrepancies or missing information to ensure timely processing. Follow up with insurance companies and payers on unpaid claims to ensure prompt payment. Post payments to the appropriate patient accounts in the hospital's billing system. Reconcile insurance payments with remittance advice to ensure proper allocation. Handle adjustments to patient accounts based on payment discrepancies or denials. Coordinate with internal departments to ensure proper documentation of payments. Review denied claims, identify the cause of denial, and initiate appeals when necessary. Work with insurance companies and patients to resolve billing issues or discrepancies. Monitor accounts to ensure timely follow-up and resolution of unpaid claims. Ensure that all billing and follow-up actions are compliant with industry standards and hospital policies. Generate and review patient bills to ensure accuracy before sending them to the patients. Answer patient inquiries regarding billing questions, payment plans, and insurance information. Provide clear explanations of charges, insurance coverage, and payment options to patients and family members. Work closely with the hospital's financial counselors to assist patients in setting up payment arrangements or financial assistance. Maintain accurate and up-to-date records for all billing activities, including claims submissions, denials, payments, and patient interactions. Assist in preparing reports related to billing activities, aged accounts, and outstanding claims. Keep track of key performance indicators (KPIs) related to billing efficiency and accuracy. Ensure adherence to hospital billing policies, insurance regulations, and compliance with HIPAA guidelines. Stay current with changes in healthcare billing regulations, coding updates, and payer requirements. Participate in audits or internal reviews as required to ensure the accuracy and integrity of billing data. Work closely with other departments (e.g., coding, patient access, finance) to resolve billing issues and ensure smooth revenue cycle operations. Provide support and assistance to other team members as necessary, fostering a collaborative work environment. Assist with training new billing associates or staff members as required.
Job Type: Full-time

Pay: ?20,000.00 - ?25,000.00 per month

Benefits:

Health insurance
Experience:

Hospital: 3 years (Required)
Work Location: In person