Job Description

Job title

Billing Services Representative

Reports to

Billing Manager

Starting Pay:

of Responsibilities

As a member of the Billing Department, this role is responsible for computing, classifying, and recording numerical data to keep financial records complete. Perform any combination of routine calculating, posting, and verifying duties to obtain primary financial data for use in maintaining accounting records. May also check the accuracy of figures, calculations, and postings pertaining to business transactions recorded by other workers. Expected to gain certification upon one-year of hire. Reports directly to the Billing Manager.

Responsible for posting insurance payments, entering charges for surgeries and other services and assisting patients with their accounts, both in the office and on the phone. Position requires accuracy, thoroughness and a good understanding of insurance procedures for referrals, copays, deductibles, allowables, CPT codes and Dx codes. Work is multitasked and interrupted often. Must have the ability to communicate effectively with patients.

Essential Functions:

• Posts insurance company payments.
• Posts patient payments.
• Enters charges for surgeries, procedures and other services.
• Cheerfully answers patient inquiries in person and on the phone.
• Balances the day sheet and prepares receipts for deposit.
• Follows up on insurance company requests for additional information and denials.
• Reviews the accounts receivable aging report for claims that need to be refilled or followed up in some other manner.
• Assists with other patient service responsibilities as requested.
• Obtaining referrals and pre-authorizations as required for procedures.
• Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
• Reviewing patient bills for accuracy and completeness and obtaining any missing information.
• Preparing, reviewing, and transmitting claims using billing software.
• Following up on unpaid claims within standard billing cycle timeframe.
• Checking each insurance payment for accuracy and compliance with contract discount.
• Calling insurance companies regarding any discrepancy in payments if necessary.
• Identifying and billing secondary or tertiary insurances.
• Reviewing accounts for insurance of patient follow-up.
• Researching and appealing denied claims.
• Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
• Setting up patient payment plans and work collection accounts.
• Attend required meetings.
• Maintains patient confidentiality at all times and communicates with the billing manager regarding procedural changes and concerns.
• Assists patients willingly, professionally and accurately.
• Cooperates and communicates with all staff members and physicians.
• Participates in professional development efforts to stay current on insurance coverage changes and regulatory matters.
• Demonstrates a willingness to help as needed in all patient service roles.
• Complies with all other Patient policies and procedures including punctuality, attendance and dress codes.
• All other duties as assigned.

Other duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Requirements

Competencies:

• Customer Service
• Clerical
• Mathematics
• Basic Accounting knowledge
• Critical Thinking
• Time Management
• Detail Oriented
• Patient-Centered
• Project Management Skills
• Word processing and computer experience required.

Minimum Education Requirements

• High school diploma or GED.
• Good verbal communication skills.

Minimum Background Requirements

• 1-3+ years of medical practice billing.
• Skill in computation, typing and filing.
• Ability to make simple mathematical computations.
• Basic coding knowledge.

Preferred Education and Experience

• Associate or Bachelor’s Degree in Finance related field.
• Certified Biller/Coder

Affirmative Action/EEO statement

Louisiana Eye and Laser’s practice is to comply with all federal, state and local employment law, and it is committed to equal opportunity in employment. LEL is committed to providing equal opportunity for all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, political affiliation, veteran status, membership or application for membership in a uniformed service such as the military or a public health service, genetic information or any other characteristic protected under federal, state, or local law.