Billing Representative Job Description
Billing representative
provides in-service education and training on CMS (Centers for Medicare and Medicaid Services) for physicians and staff.
Billing Representative Duties & Responsibilities
To write an effective billing representative job description, begin by listing detailed duties, responsibilities and expectations. We have included billing representative job description templates that you can modify and use.
Sample responsibilities for this position include:
Calculates and processes customer invoices and dealer credits on S21 retail and Excel by utilizing established formulas and conforming to National Account Agreements to determine accurate billing of service, rental,lease and purchase equipment
Preparing and maintaining accurate Excel spreadsheets to support the manual invoicing and billing process
Complete hospital billings
Oversee Medicaid and Medicare billings
Cash Receipts – Works directly with investment bankers providing expense detail and preparing invoices to external clients
Complete timely and accurate billing to Full Service Clients for monthly administrative charges
Identify and resolve discrepancies and errors associated with the proper billings, receipts, and disbursements
Ensure timely payments are received
Assist in system testing
Assist all internal and external Clients with billing questions and/ or issues
Billing Representative Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Billing Representative
List any licenses or certifications required by the position: CPC, CCAT, AHIMA, AAPC, GOLD, VA, COC, NAFTA, ICD
Education for Billing Representative
Typically a job would require a certain level of education.
Employers hiring for the billing representative 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, Guidance, Sound, Associates, Business, Medical, Technical, Healthcare, Graduate
Skills for Billing Representative
Desired skills for billing representative include:
Medical terminology
General aspects of the job
Excel
Principles and processes for providing customer service
Medicaid and Medicare billing regulations
Revenue and ICD coding language
Excel and Access
UB-04 claim forms
HCPCS
ICD9 and CPT4 codes for specified services rendered
Desired experience for billing representative includes:
Support the Billing Department on other required tasks /projects as required by management
Reviews installation reports and verifies information to ensure that customer purchase order corresponds to customer pricing
Interacts closely with National Account customers/dealers/Account Representatives, applying customer service skills to investigate billing inquiries
Reviews purchase orders and verifies information to ensure that customer purchase order corresponds to customer pricing
Interacts with regional order department to assist and resolve order processing errors and inquiries
Interacts closely with National Account customers / dealers / Account Executives applying customer service skills to investigate billing inquiries
Billing Representative Examples
1
Billing Representative Job Description
Job Description Example
Our growing company is looking to fill the role of billing representative. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for billing representative
- Inputs servicing dealer change due to machine relocation or dealer cancellation
- Issuing weekly customer statements
- Reconciling billings, general ledger and source data to verify accuracy
- Sending client invoices and supporting details
- Organizing and maintaining files containing invoice and customer credit memo records
- Performing additional tasks and projects as requested by management
- Responsible for the daily downloading, editing and transmitting of billed claims
- Request medical records and itemized bills for specialized billing
- Coordinate with the departments and medical records for clinical charge and coding issues
- Identify/resolve medical necessity and CCI issues
Qualifications for billing representative
- Responsible for working daily reminders (CFUM’s) and CPA Work Queues
- Responsible for initiating the electronic Bill Date Posting process
- Responsible for initiating the electronic Confirmation Note Posting process
- Responsible to download and transmit data mailers to Express Bill for distribution
- Other duties as assigned by the PFS Billing Supervisor, Assistant PFS Director and/or PFS Director
- Issue invoices to customers and weekly customer statements
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Billing Representative Job Description
Job Description Example
Our company is hiring for a billing representative. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for billing representative
- Provide support for other members of the Accounts Receivable Department, including analysts, team leaders and supervisors, as required
- Interacts with patients to help resolve insurance discrepancy issues
- Handling billing duties
- Payment postings
- Provide World Class Customer Service, via verbal and non-verbal communication, in a polite, pleasant and respectful manner
- Safeguard all Protected Health Information (PHI) by keeping it in sight, on your person or secured at that persons respective workstation
- Verify patient's Medicaid, Medicare, Managed Care and other insurance eligibility via HDX or insurance websites
- Register patients via Unity system
- Verifies patient's demographics and insurance via Unity system
- Open visits for clinics
Qualifications for billing representative
- Insure that HIPAA and Patient Rights booklets are distributed to patients, when needed
- Scan patient ID, insurance card and any other pertinent information into Enterprise Document Management (EDM) system
- Participate in staff meetings and in-service trainings, as requested
- Accounts Payable and/or Accounts Receivable experience preferred
- Time management and attention to detail to accurately process a high volume of workload in a tight turnaround environment
- Positive team attitude and willingness to assist the team
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Billing Representative Job Description
Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of billing representative. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for billing representative
- Monitors bank account activity and escrow funding status and notifies management and/or clients of issues
- Identifies customer needs and resolves them in a timely manner
- Provides support and problem resolution to internal and external customers
- Ensure that daily paperwork is received from the customers
- Input new and updated information into the operating system accurately within 24 hours of receipt
- Communicate with Business Office Managers, Directors of Nursing and/or Administrators to obtain missing information
- Communicate with third party insurance plans to verify eligibility and obtain insurance information
- Set up and review Hospice accounts for accurate billing
- Set up and review Medications sent home with discharge for accurate billing
- Process paper and electronic insurance claims daily, weekly, or monthly, according to departmental schedule as specified for each type of insurance
Qualifications for billing representative
- Minimum of three years of experience in medical billing required
- High school diploma or equivalent an asset
- Advanced computer and MS Office skills
- Experience with administrative accounting tasks are an asset
- Minimum of 3 years experience in a hospital patient accounting or medical insurance environment preferred
- Associates degree or equivalent recommended
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Billing Representative Job Description
Job Description Example
Our growing company is searching for experienced candidates for the position of billing representative. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for billing representative
- Process secondary claims, both paper and electronic
- Review electronic errors and rejection reports and resolve as appropriate
- Reconcile claims billed utilizing available tools
- Contact clinics as necessary regarding missing or incorrect data required for billing, escalate as needed
- Maintain and update notes on patients’ accounts as required
- Immediately notify management of payor issues or problems and maintain constant communication with management until resolved
- Assist with rebills
- Ensure all HIPAA requirements and standards are followed and executed consistently
- Bill UB92 / UB04 Government and Non-Government claims for St
- Obtain documents to be submitted with claims on a timely basis (ie
Qualifications for billing representative
- Must have knowledge of third party billing procedures state and federal regulations governing billing
- 1+ years of collections and call center experience strongly preferred
- Collaborate with LTC facility staff , Omnicare pharmacy operations staff, prescriber offices, third party payers, patients and/ or their responsible parties and claim processors
- Work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practices
- Be sitting, stand, stoop, bend and walk intermittently during the day
- Have finger dexterity to operate office equipment (Required)
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Billing Representative Job Description
Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of billing representative. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for billing representative
- Maintain specific billing processes by overseeing Special Handling Accounts, maintaining spreadsheet
- Acts as a liaison between customers, carriers, and internal departments to resolve customer-initiated billing issues in a timely manner
- Handles and addresses process training issues for internal and external customers relative to the transportation industry in order to minimize preventable billing issues
- Identifies and escalates company provided system related billing issues to management as appropriate
- Responsible for reviewing adjustments prior to invoicing to ensure accuracy
- Generate reports including, but not limited to Unbilled, Ready and Not Ready reports from the Win system, manifests and worksheets
- Cross-train in other areas to ensure coverage in the case of illness, vacation
- Stay current with electronic mailing of invoices to customers
- Maintains and reconciles records and account files
- Performs related accounting activities
Qualifications for billing representative
- Experience using Peach Tree accounting software is a plus
- Ability to follow through with tasks
- Hear normal voice sounds
- Experience with complex account administration
- Bookkeeping knowledge and experience
- Knowledge of multiple products, related systems and processes