Billing Follow-Up, CRMG

Duties and Responsibilities

• Understand how to resolve and identify Patient Accounting from Billing System.
• Provide customer service both on the telephone and in the office for all patients and authorized representatives regarding patient accounts in accordance with practice protocol.
• Return patient calls regarding accounts receivable within 2 business days to ensure maximum patient satisfaction.
• Verify all demographic and insurance information in patient registration of the practice management system at the time of charge entry to ensure accuracy, provide feedback to other front office staff members and to ensure timely reimbursement.
• Follow-up on all outstanding insurance claims at 60-days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability.
• Follow-up on all outstanding patient account balances at 90-days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability using the A/R aged reports.
• Provide information pertaining to billing, coding, managed care networks, insurance carriers and reimbursement as needed.
• Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
• Recommend accounts for outside collection when internal collection efforts fail in accordance with practice protocol.
• Maintain proficiency with all facets of the medical practice management system including patient registration, charge entry, insurance processing, advanced collections, reports, and ledger inquiry.

Qualifications

• At least six months experience working directly with Physician Medical Office Accounts Receivables.
• A high school diploma or GED is required.
• A college degree is preferred.
• Excellent communication skills.
• Excellent written communication skills.
• Demonstrated team skills.
• Excellent analytical/accounting/statistical reporting skills.