Billing Follow Up Representative - Hybrid - TMC Oncology
About the position
The Billing Follow Up Representative is responsible for ensuring the efficient handling of all insurance billing, follow up, and collection activities. This role involves communication with insurance companies and state agencies, requiring a strong knowledge of payer contracts and a complete understanding of payer billing requirements to ensure timely and accurate payment. The representative will complete reconciliation and billing of accounts, making independent decisions based on payer, coding, and billing guidelines.
Responsibilities
Exhibits excellence in customer service through appropriate attitude and interaction with all customers, insurance plans, patients, visitors, and staff.
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Maintains and fosters effective public relations with patients and the public.
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Assists management in maintaining or reducing account receivable (AR) days to meet industry standards and improve organizational cash flows.
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Ensures patient accounts are billed and followed up on timely in a complete and accurate manner in accordance with payer contracts or guidelines.
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Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence.
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Prepares and enters contractual write offs as identified.
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Serves as an information resource to patients and hospital staff regarding insurance claims.
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Provides routine internal and external interface with internal and external department staff and insurance payers to resolve insurance-related accounts.
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Assists with problem solving, inquiries, and customer interaction to ensure positive results.
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Analyzes patient accounts, reviews explanation of benefits and payer remits, and processes contractual write offs as needed.
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Trains and assists in the implementation of new software programs/systems, system upgrades, and related technologies.
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Responds to insurance inquiries/requests as received either by mail or electronically.
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Ensures all billing edits are completed daily for claim submission.
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Adheres to TMCH organizational and department-specific safety and confidentiality policies and standards.
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Performs related duties as assigned.
Requirements
High School diploma or General Education Degree (GED); or an equivalent combination of relevant education and experience.
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Three (3) years of related experience such as medical billing, medical insurance follow up in a physician or hospital setting.
Nice-to-haves
Benefits
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