Billing Rep Job Description
Billing Rep Duties & Responsibilities
To write an effective billing rep job description, begin by listing detailed duties, responsibilities and expectations. We have included billing rep job description templates that you can modify and use.
Sample responsibilities for this position include:
Billing Rep Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Billing Rep
List any licenses or certifications required by the position: CAC, GOLD, CPC
Education for Billing Rep
Typically a job would require a certain level of education.
Employers hiring for the billing rep job most commonly would prefer for their future employee to have a relevant degree such as High School and Bachelor's Degree in Education, Financial Services, Accounting, Guidance, Associates, Computer, Business, Technical, Business/Administration, Medical
Skills for Billing Rep
Desired skills for billing rep include:
Desired experience for billing rep includes:
Billing Rep Examples
Billing Rep Job Description
- Perform due diligence to contact patient by phone and/or sending a letter
- Resolves patient account issues through rebilling, setting payment arrangements, obtaining payment, updating insurance, researching payments, and correction of patient information
- Partners with other revenue management areas and facilities to achieve resolution
- Researches and resolves issues to meet customer needs
- Demonstrates good judgment in allotting proper time to any telephone contact, while maintaining a professional attitude
- Completes each transaction to resolution
- Handles stressful situations with professionalism and tact
- Uses a professional attitude and a high degree of customer service when dealing with customers, including patients, physician offices, payers, and other hospital departments
- Communicate and assist patient’s with Financial Assistance Program
- Work closely with HIM departments on processing Release of Information requests
- High School diploma with 3 years’ experience in physicians or hospital
- Minimum of two years billing experience required
- Able to interact with physicians, patients and co-workers in a professional and helpful manner
- Use of an adding machine
- Experience in understanding and usage of computers the ability to learn applications relavant to the position, required
- Experience includes heavy phone usage positions (call center, receptionist, operator, telemarketing, soft collections, front desk, ) required
Billing Rep Job Description
- Assists customers with obtaining and/or the completion of required medical documentation or other paperwork
- Assists in the handling of customer’s financial matters, insurance coverage or not, and makes arrangements for payment
- Coordinates work to achieve maximum productivity and efficiency
- Reviews and confirms all deliveries
- Provides phone support, relays messages to the appropriate party and takes messages as needed
- Provides clerical support as needed, makes copies, files
- Assists Accounts Manager as necessary
- Some A/R Follow-Up
- Accurately identifies patient record using a minimum of two patient identifiers (name, DOB, SSN) ensuring that the correct patient is always selected and minimizing duplicate MRN errors
- Accurately inputs all patient demographics and insurance information into the patient record in Epic (or applicable health information system)
- Minimum 2 years office experience, preferably in a health care setting
- ICD-9 10 Coding experience helpful
- Minimum (5) years in call center/customer service, minimum (1) year management experience required
- Previous healthcare
- Must have NC state Phamacy Technician license and certification required by government regulation
- Strong computer skills and data entry skills, project management skill required
Billing Rep Job Description
- Runs a SOW several times daily and schedules visits for IP consults
- Assists office staff with duties as assigned
- Provide patient account information and answer customer queries
- Obtain and enter authorizations, insurance and demographic information accurately and timely to ensure clean claims are released
- Timely follow-up on insurance claim denials and exceptions
- Respond to inquiries from Case Managers, insurance companies, and internal customers in a timely manner
- Regularly attend monthly staff meetings and in-house training
- Use ACTS work list report to enter initial follow up date and understands and uses Medi system
- Able to create and use Excel spreadsheets
- Downloads and edits claims
- Problem solving - Identify and resolves problems in a timely manner
- Communications - Able to communicate clearly, tactfully and succinctly in a variety of communication mediums, settings, and styles
- Judgment - Displays willingness to make good and accurate decisions in a timely manner
- Teamwork - Supports co-workers and understands the importance of working effectively within a group
- Organization - Good organizational skills with strong discipline and work ethic to consistently meet deadlines with a high degree of accuracy
- At least 1 yr of medical billing experience or equivalent experience in a hospital Business Office
Billing Rep Job Description
- Meet Revenue Cycle Quotas and Goals within the Accounts Receivable Department
- Keep accurate notes and account records
- Manage heavy phone calls and respond to denials promptly
- Maintain accurate insurance information within software program
- Review account receivable claims and contact clients regarding outstanding missing information providing necessary paperwork and information
- Provide monthly reviews and recommendations for accounts going into escalation status
- Review insurance denials and actively work the accounts for payment
- Enter insurance information and maintaining accurate insurance profiles, payor IDs
- Maintain tracking system for follow up on accounts and tasks
- Utilize payor websites to look up eligibility and plan details
- 1 year experience in Insurance industry preferred
- 1 year experience in financial services industry preferred
- Minimum 1 year of practical experience with billing, bookkeeping and/or collection services required
- Lab and healthcare experience preferred
- Experience with billing Sate and Local clients preferred
- Must be detail-oriented and organized, with good analytical and problem solving ability
Billing Rep Job Description
- Work assigned patient accounts and rejections within department guidelines
- Ensures that claims are submitted accurately and timely, with appropriate documentation, ICD-10 diagnosis, modifiers, claim status codes, authorization numbers, invoices, per timely filing limits
- Take initiative independently to resolve a variety of claim matters
- Verify accurate reimbursement per contractual agreements in collaboration with central Revenue Cycle including the payment posting team as needed
- Serves as a resource and subject matter expert to others within the department
- Facilitates training and education for new and existing departmental staff
- Participate in formulation, evaluation, and revision of departmental policies and procedures
- Retrieve and send invoice documents via mail, e-mail, and fax
- Set-up and execute winshuttles for various sales order and invoicing tasks
- Upload and or entry of invoices electronically via web interface thru various websites and platforms
- Third party or patient collections experience
- Minimum of 3 year medical billing experience required
- Completes claims submission on a weekly basis for assigned clinic
- Handles all account correspondence for assigned clinic
- Communicate with clinic on medical necessity issues
- Meets with patients/representatives to produce financial summaries and arranges payment methods/arrangements