Primary Job Functions:
Claim Processing and Reconciliation:
- Posts charges, payments, and adjustments to patient accounts in an accurate and timely manner.
- Verifies patient demographic and billing information.
- Verifies patient insurance eligibility to ensure information is current and accurate.
- Responds to patient balance and billing inquiries in a prompt manner.
- Key charges into electronic billing system and payer websites when appropriate.
- Collects patient co-payments or balances due on account and enters payments into billing system.
- Processes and files billing documents as required.
- Provides internal training regarding the billing process.
- Works cooperatively within the department to resolve problems regarding billing and collections.
- Assist with medical bill processing oversight.
- Works billing reports and third-party vendor reports related to the billing process.
- Meets or exceeds department productivity standards.
Supervision and Consultation:
- Seeks supervision and consultation as needed
- Ability to work schedule as defined and overtime as required.
- Accepts and employs suggestions for improvement
- Actively works to enhance skills
Customer Service and Workplace Conduct:
- Treats consumers with care, dignity, compassion and respect
- Courteous and respectful towards consumers, visitors and co-workers
- Respects consumers’ privacy and confidentiality
- Is pleasant and cooperative with others
- Assists consumers and visitors as needed
- Personal values don’t inhibit ability to relate and care for others
- Is sensitive to the consumer’s needs, expectations and individual differences
Administrative and Other Related Duties as assigned:
- Actively participates in Performance Improvement activities
- Actively participates in AltaPointe committees as requested
- Completes assigned tasks in a timely manner
- Works in a cooperative manner with other AltaPointe employees
- Follows AltaPointe policies and procedures
- Receives and responds to inquiries of accounting matters promptly and courteously
- Assists with performance of duties of other accounting staff in periods of absence
- Performs other duties as assigned