Interviews patients, representatives and reviews information from other departments and edits or updates accounts with information if needed. Thorough understanding of statement cycle, collection events, collection letters, mail or any other correspondence such as explanation of benefits, and adjustment batches. Utilizes approved Internet websites to help in collection of balances and keep updated on governmental and other agency rules and regulations. Understands provider based billing and hospital collection policy and guidelines and discusses with patient or representative. Thorough knowledge of SSI electronic claims system, and Meditech BAR, PBR, APR, and PWM modules. Maintains current information of billing procedures, including but not limited to, proper claim forms, appeals, bundled or late charges, local medical review policies, non-covered charges, denied charges, non billable charges, advance beneficiary notices, and overpayments, according to government or other agencies and their regulations. Maintains integrity of accounts according to those rules and regulations.
High school graduate or GED equivalent. Requires typing and computer skills, multi-tasking capabilities, and good interpersonal skills. Knowledge of ICD-9, ICD10, CPT coding, Medical terminology, and hospital or physician office billing helpful.
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