HPH MSO LLC

JOB SUMMARY

Responsible for preparing, reviewing, and transmitting claims timely and accurately using billing software, including electronic and paper claims.

QUALIFICATIONS

• High School graduate required
• Four years of medical facility or medical business office experience preferred
• Experience in customer relations or teaching preferred
• Experience in third party payer requirements preferred
• Automated billing systems experience required
• Training/experience in business office activities preferred
• Requires language skills adequate for effective written and interpersonal communication in American English.
• Require visual and auditory acuity adequate for frequent use of computers and occasional use of other business office equipment.

OCCUPATIONAL EXPOSURE

Category III exposure to blood borne pathogens and may encounter chemical hazards.

 RESPONSIBILITIES:

• Communication Responsibilities to include, but not limited to:
  • Provides documentation to patients and business office staff.
  • Answers patient and family member questions and refers questions to healthcare professionals when appropriate.                                                                            
  • Communicates pertinent information from the physician, support staff, insurance
  • Reports regularly to the Business Office Director about the status of current projects or workflow.
• Bills and follows-up with patients for services received in accordance to Facility Policy and Procedures.            
  • Maintains current information on claims adjudication and payment policies on all
  • Maintains current information on correct and lawful practices in billing.
  • Monitors accounts receivable to identify billing errors, coding errors, and timely rebilling.
  • Provides management reports to the Business Office Director on a weekly basis per protocol, identifying all trends and/or issues.
  • Maintain timely billing of all claims.
  • Accurately enter all billing information on a daily basis to ensure timely filing of all claims.
  • Timely release of claims from clearinghouse, ensuring accuracy of all submitted information to payers.
  • Work in conjunction with other departments within the facility to ensure accurate timely billing.

JOB CODE: 1000111