Location: Orlando, FL 32806
Overall Responsibility:
Performs all appropriate collection activities to obtain full reimbursement and payment from patients and third-party payers.
Key tasks and responsibilities (essential functions):
- Maintain and work all facility accounts, meeting all collection activity schedules as established by the Manager.
- Refer difficulties or problems involving billing and collection efforts immediately to the Manager.
- Utilize collection evaluation tools regularly to meet cash collection goals, following through to completion on all patient and insurance questions and problems. Ensure complete and proper documentation in the system.
- Monitor accuracy, timeliness and completeness of patient accounts, including; demographic, insurance, referral and pre-certification information.
- Maintain complete and accurate files of all insurance information and contracts. Keep abreast of insurance changes and requirements. Ensure that up-to-date carrier information is maintained in the computer.
- Audit all EOBs to ensure accuracy of reimbursements and proper adjustments have been made.
- Complete all correspondence, rebill, denials and appeal processes as needed.
- Maintain and handle maintenance of system relating to patient accounting.
- Maintain expert knowledge of A/R system and A/R system reports.
- Maintain adequate computer supplies on hand, e.g., paper, insurance forms, ribbons, etc.
- Maintain updates and modification of all code books as published.
- Review all Medicare cases to ensure compliance.
- Help maintain patient confidentiality standards for both medical and financial information.
- Keep job related skills current through training programs.
- Participate in all compliance programs.
- Participate in loss prevention by protecting company assets and maintaining a safe environment.
- Performs other related duties incidental to the work required in this job description.
