Job Description

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Collects receivables and monitors past due accounts. Researches and resolves insurance claim discrepancies.

Essential Functions

• Reviews patient account files received for discharged patients and ensures the accuracy and completeness of all documents.
• Identifies portion of charges to be billed to patients’ insurance companies, Medicare or other third parties, and those to be billed to the patient directly.
• Prepares appropriate billing statements for insurance companies, Medicare or other third parties.
• Replies to patients’ and insurance company requests for information.
• Assists in the preparation of billing activity reports.
• Prepares and maintains billing files and reports.
• Investigates delinquency cases to identify any special circumstances affecting payment delays and follows up with appropriate parties.
• Contacts third party payer organizations and/or patients as necessary to facilitate the timely payment of past due charges or arranges alternative settlement plans.
• Identifies problem delinquencies and recommends their appropriate disposition (i.e., referral to collection agency or other legal action, or write-off).
• Prepares and maintains records and reports documenting the status and amount of past due accounts, and the timing and nature of their disposition.

Knowledge/Skills/Abilities/Expectations

• Excellent oral and written communication and interpersonal skills.
• Computer literate.
• Knowledge of Medicare, State Programs, and commercial billing.
• Approximate percent of time required to travel: 0%
• Must read, write and speak fluent English.
• Must have good and regular attendance.
• Performs other related duties as assigned.

Qualifications

Education

• High School Diploma or Equivalent including education equivalent to completion of secondary school or demonstrated ability to perform the essential functions of the role. (Preferred)

Experience

• 2+ years hospital medical billing experience (Preferred)