Rep-Billing Job Description
Rep-Billing Duties & Responsibilities
To write an effective rep-billing job description, begin by listing detailed duties, responsibilities and expectations. We have included rep-billing job description templates that you can modify and use.
Sample responsibilities for this position include:
Rep-Billing Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Rep-Billing
List any licenses or certifications required by the position: CAC, GOLD, CPC
Education for Rep-Billing
Typically a job would require a certain level of education.
Employers hiring for the rep-billing 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 Rep-Billing
Desired skills for rep-billing include:
Desired experience for rep-billing includes:
Rep-Billing Examples
Rep-Billing Job Description
- Greets every individual on the phone or in person with a smile and a warm professional greeting for the Telehealth Scheduling & Billing Line Provides outstanding customer service to all internal and external customers including our patients, visitors, co-workers, physicians, and insurance companies
- Enters appropriate charges which may include HB and PB charges for both IP and OP telemedicine visits following telemedicine billing processes in correct Epic boxes
- Monitors and works over 20 billing workqueue’s
- Maintains copies of all 8096 and FASTforward authorizations
- Performs charge corrections per departmental requests
- Works directly with third party payers, internal and external customers, toward effective and efficient claims resolution
- Responds to Customer Service inquires
- Submits replacement, cancel, and appeal, claims to third party payers
- Utilizes all resources available, including electronic inquiries to verify eligibility, and claim status
- Exercises good judgement towards account resolution and documents all activity on account in clear, accurate, and consistent manner
- Decision Making – Identifies issues, problems, and opportunities
- PC Skills – Demonstrates proficiency in Microsoft Office (Excel, Word, and Outlook) applications
- Experience with Microsoft Outlook which includes the ability to read understand and respond to emails received, sort and categorize emails, set up signature, and utilize task option
- Experience with Microsoft Excel which includes the ability to understand and interpret simple spreadsheets and create and modify simple spreadsheets
- Knowledge of Federal and State regulations applicable to Government and Insurance Collections
- Working knowledge of computers and demonstrated proficiency in using e-mail systems, Internet and MS office software applications with emphasis in Word and Excel
Rep-Billing Job Description
- Identifies billing problems and corrects them
- Review, verify and correct Lab orders to ensure accurate and up to date patient demographic and insurance information on HIS, LIS and Billing Systems
- Utilize multiple computer systems to input and source patient billing information (UHHS, AthenaNet, IDX, Soarian, Soft Lab/AR, HARP, OnBase and POS/Virtual Merchant)
- Provide excellent customer service to all internal and external customers while researching and resolving patient billing issues
- Balance out cash drawers
- Collect administrative and financial documents from patients
- Answer phones and screen incoming calls
- Familiarity with Managed Care Contractual Obligations
- Attends all required training classes
- Maintains cooperative and professional relationships with physicians, nurses and office staff
- The Basic Computer Literacy Assessment score must be current within one (1) year of (contact Local HR Office for testing)
- Proficient with patient accounting and computerized collection systems and use Windows operating system and Microsoft Office Applications (WORD, EXCEL)
- Ability to read, write and perform mathematical computations at a high school level
- Must be able to sit at a computer screen and keyboard for extended periods of time
- Is able to adapt to changes in the work environment, can change approach or method to best fit the situation
- Experience in Commercial Services (B2B) preferred
Rep-Billing Job Description
- Assist with other billing duties as needed
- Resolves billing inquiries utilizing a variety of tools
- Provides feedback to revise and improve billing processes
- Meets billing deadlines and productivity measures while maintaining accuracy and quality
- Schedules appointments accurately selecting the appropriate location, service, diagnosis and provider
- Obtains all required clinical information including paper requisitions as needed to ensure appropriate pre-certification and follow up can be obtained
- Confirms the telehealth visit took place and all documentation is recorded in appropriate boxes in Epic
- Schedules follow up visits as requested by Physician in a timely manner
- Works referral workqueue’s in all 3 EPIC boxes
- Runs daily schedules and confirms documentation is ready for next day appointments each day
- Must have good communication skills & basic math skills
- Must possess strong skills in Microsoft Excel and Word
- This position will be located on-site in Windsor, CT or Overland Park, KS
- Associate's degree (A.A.) in Accounting or Business or equivalent from two-year college or technical school
- They need to follow procedures and work well with other team members
- Must have good oral & written communication skills, detail & results orientation, problem solving skills, and team work, Leadership/supervisory skills
Rep-Billing Job Description
- Appeal carrier denials through review of coding, contracts, and medical records
- Maintain Outlook shared mailbox by responding and resolving ad-hoc billing inquiries
- Provide customers with customized billing on a daily, weekly, or monthly basis
- Liaison between the corporate office, the sales force, and end customer for their billing requirements and expectations
- Determines appropriate issue resolution on any billing discrepancy for product, tax and/or freight
- Continuously working on creating and updating existing and new processes as it relates to the billing requirements
- Uses Aging data to follow up on accounts
- Practices Service Excellence
- Make outbound calls to verify insurance coverage
- Convert written Diagnosis codes to ICD-9 format accurately
- Fosters teamwork atmosphere between business and clinical stakeholders
- Retains, recruits and manages staff to achieve strategic objectives
- Reschedules all patients for whom insurance verification/authorization information has not been obtained prior to the patient’s appointment
- Associate's Degree/completion of college level coursework preferred
- Prior experience in physician office/revenue cycle operations, preferred
- High school diploma or GED equivalent, or equivalent combination of education and experience
Rep-Billing Job Description
- Must understand and follow HIPAA guidelines
- Maintains departments quality standard on follow-up and collections of routine and standard accounts
- Maintains department productivity standard on follow-up and collections of routine and standard accounts
- Provides customer service by answering inbound phone calls, handling complaints, resolving routine and standard issues
- Provides reports to appropriate staff and leaders
- Working directly with the department supervisor on special projects and staff training
- Work closely with provider offices on patient issues
- Review and resolve uncollected accounts and prepare charge corrections
- Utilizes insurance company websites to expedite the account follow-up process
- Makes appropriate corrections to system to satisfy/edit payer requirements and re-submit claims as needed
- Ability to read and interpret documents such as safety rules, operating and maintenance instructions, procedure manuals, governmental regulations, and insurance company requirements
- Experience includes heavy phone usage (experience preferred in call center, reception, operator, telemarketing, soft collections, front desk, ) required
- Requires cooperation, initiative, patience and good judgment
- Strong knowledge of Medicare billing processes
- Ability to interact and collaborate effectively and tactfully with staff, peers and management
- Ability to promote team work through support and communication