• Reviews files daily and checks final amounts for accuracy and completeness, verifies and edits patient demographic and insurance information prior to claims submission.
• Ensures the accuracy of accounting for all accounts.
• Records late charges on patient accounts for appropriate logs.
• Enters required UB92 and/or physician billing 1500 information, or other pertinent information not in the system for electronic transmission of insurance claims.
  
  • Prepares and submits claims to carriers and intermediaries within 24 hours after all information is available for billing.
  • Monitors accounts for trace follow-up to insurance company and/or employer when necessary.
  • Processes and responds to correspondence from patients, insurance companies or third parties regarding insurance benefits, unpaid claims, and account balances.
  • Contacts patient account guarantors by telephone or mail to secure contracts or collection of payments.
  • Assists with the process of filing liens, garnishments or initiates other legal action to remedy unpaid accounts.
  • Reviews accounts records and ensures that collection letters are sent and debtors are contacted according to established hospital policy.
  • Monitors collection agency reports and remittances for accuracy.
  • Follows established procedures for collecting NFS check returns.
  • Resolves payment problems with patients and third party payers.
  • Reviews account status for referral to outside collection agencies prior to write off.
  • Ensures the effective billing for accounts queued in other web based software (eSolutions, etc.) and other billing solutions (AllScripts, etc.) or other various billing applications.
  • Serves as a back-up for the Hospital Financial Counselor/Business Office Cashier.
  • Prepares reports or statistics as required.
  • Ensures that accounting entries are made according to generally accepted accounting principles and CRHS policy.
  • Complies with all CRHS privacy policies and procedures including those implementing the HIPAA Privacy rule.
  • Attends in-service training, education programs and meetings as required or directed.
  • Adheres to established CRHS and departmental policies, procedures and objectives for quality assurance, safety, environmental, and infection control.
  • Performs other related job duties as assigned.