Job Summary

To post medical charges, payments, and journal entries to patient accounts in a timely and accurate manner. To process insurance claim denials, file appeals, and contact insurance companies. To work in a team environment to meet daily, monthly, and quarterly billing metrics. To respond to patient account balance questions, verify correct insurance filing information on behalf of the client and patient, verify receipt of all patient registration data from client, and notify client of potential coding problems. 

Job Responsibilities 1

Understands and stays informed about the changes in procedures, billing guidelines, and laws for specific insurance carries or payers. 

Coaches and trains billers and other stakeholders and complete performance reviews. 

Prepares and submits billing data and medical claims to insurance companies. 

Ensures the patient’s medical information is accurate and up to date. 

Prepares the preparation of bills and invoices, and documents amount due for medical procedures and services. 

Collects and reviews referrals and pre-authorizations. 

Monitors and records late payments. 

Follows up on missed payments and resolves financial discrepancies. 

Examines patient bills for accuracy and requests any missing information. 

Helps patients develop patient payment plans. 

Maintains billing reports by updating rate change, cash spreadsheets, and current collection reports. 

Supervises teams on charge entry and collections and all admission and billing processes. 

Follows up and collects all electronic claims, including resolution of any billing errors assigned following established procedures. 

Responds to any insurance inquiries received from RCM team. 

Handles patient related issues in a timely manner. 

Ensures compliance with the Hospital’s and Finance department’s policies, procedures, and Code of Ethics and reports any deviations or noncompliance. 

Skills

Job Knowledge & Skills

Knowledge of medical billing and customer service. 

Ability to delegate task and implement processes and procedures. 

Strong communication skills in both oral and written. 

Excellent problem-solving and negotiating skills. 

Ability to supervise teams of charge entry and collections personnel. 

Willing to cross- train the employees in the department.

Job Experience

5+ years of experience leading a medical billing team

5+ years of experience in Customer Service. 

Proven experience administering appeals in a high-volume claims environment. 

Minimum 2 years in GCC (preferred

Competencies

Accountability

Collaboration

Creates Strategy - Developing

Develops Future Leaders - Developing

Drives Performance - Developing

Leadership

Quality

Resilience

Education

Bachelor's Degree in Finance, Accounting, Economics, Pubic Administration or business administration, and other related field or any related field