Billing Implant & Self Pay Clerk

Job Duties

• Collect all vendor sheets for billing for implants from OR
• Collect all vendor sheets for billing for implants from OR
• Verify that all implants are correctly charged to the accounts
• Verify all PO for implants match the accounts
• Collect and send all implant invoices to proper insurance carrier for payment
• Download the self pay statement files into the appropriate self pay template
• Verify that the amounts billed to the patients are in accordance with the allowed amount stated on the EOB
• Print and prepare for mailing all current patient statements
• Perform necessary correction to errors received from daily electronic billing reports, paper claim submissions and third party confirmation reports. Where applicable, make necessary corrections in the billing system.
• Expedite payment of outstanding accounts through regularly scheduled follow up activity.
• Review system generated reports to identify accounts requiring research based on guidelines established by department. Determine appropriate action to be taken for resolution of accounts, securing prompt and accurate payment. Documents result in appropriate system(s) and Log. Alert Supervisor and/or Manager of non-payment trends.
• Research rejected and/or denied services. Determine corrective action to be taken. Complete corrective action, utilizing departmental procedures, policies, and document results in appropriate system(s) and Log. Alert Supervisor and/or Manager of non-payment trends
• Complete productivity reports and forward to Supervisor per established time frame
• Support customer service and performance improvement goals of the department; collaborate with other staff, within and outside the Department, to develop means of enhancing patient care and service
• Maintain standards of confidentiality
• Must possess ability to interact with variety of individuals as a problem-solver and have very good verbal and written communication skills. Strong analytical and organizational skills essential.
• Demonstrates excellent customer service skills when responding to incoming or outgoing calls in a most courteous manner providing clear and appropriate information as needed.
• Assist with daily mail and correspondence. Route mail and correspondence accordingly. Include scanning correspondence into account
• Work with external collection agencies and self pay vendors to ensure accounts are processed correctly

Minimum of 2 years of experience in Billing