Job Details

In Pediatrics East Trussville 

Work schedule will be Full-time on the Day Shift, Monday-Friday, 8 am - 5 pm with rotating weekends.

Summary:
Responsible for researching, correcting, updating erroneous or missing account information, insurance, guarantor or other medical information, vouchers, purchase orders, vendor statements. Performs accurate billing and appropriate reconciliation of charges in a timely manor; provides reports, documentation, and ongoing statistics as needed. Ensures cash/insurance payment posting activities are accurate and completed in a timely manner

Other information:
Requires the ability to use automated patient accounting systems, word processing package at intermediate level, ability to type 50 words per minutes, 10-key calculator, general office equipment

Responsibilities

· Checks encounter for accurate ICD/CPT codes before submitting them to the insurance company.

· Process all patient payments and insurance payments ensuring payment is placed on correct account. Verify what is keyed in the system matches what was received.

· Respond to all patient questions concerning their accounts.

· Assist physicians and staff with any coding questions as needed.

· Setting up newborns in the system and adding their information to the medical record.

· Transmit insurance claims daily. Contact insurance company as needed.

· Ensure the Transmission log and Deposit Logs are kept up to date.

· Review aging report monthly working the outstanding claims to ensure payment.

· Assist front desk staff when needed.

· Performs other duties as required.

Education with Equivalent Qualifications:

Essential:
* High School Diploma Graduate or Equivalent; Associates degree preferred

Experience
* 3 years of experience as in medical billing and insurance, preferably in a physician practice or clinic.