Job description

Evaluation and Analysis: Adheres to and has a basic understanding of the financial budget. Able to operate within the guidelines of the fiscal budget. Responsible for serving as the back-up to Patient Services Rep I and Patient Services Rep II: Researches all information for completing the billing process, including charge information from the physician. - Keys charges and processes batches daily. Prepares bank/deposit summary after balancing payment to receipts. - Possesses and applies a thorough knowledge of the practice management billing systems and the ability to apply the knowledge to all aspects of the patient account, including insurance, billing and collections. Familiar with the Fair Debt Collections Practice Act and complies with self-pay and bad debt policies. - Reviews accounts for possible assignment to a collection agency; makes recommendations to Site Coordinator. - Advises patient of collection and billing procedures and anticipated changes. Assists patients in understanding their liability and explains responsibility regarding their payment. - Researches all information for completing the billing process, including charge information from the physician. - Reviews diagnosis and procedure codes for accuracy and enters data at point of service. Performs computer data entry, researches, and interprets complex information and maintains appropriate records. - Processes referrals in an accurate and timely manner. Provides documentation on referrals that have been processed. - Facilitates the collection of patient payments for services rendered. Provides account balance and collects the outstanding balance from patient. Reconciles daily cash fund and balances cash drawer. Prepares bank/deposit summary after balancing payment to receipts. - Greets, welcomes and promotes cooperation and superb customer relations to all who enter the clinic. - Facilitates patient flow through the clinic. - Verifies the collection of patient payments for services rendered. Provides account balance and collects the outstanding balance from patient. Reconciles daily cash fund and balances the cash drawer. - Obtains and edits patient and insurance information in the clinic's computer system, while ensuring all information is accurate. - Maintains a general knowledge of the health plans including co-pays, deductibles and co-insurance. - Informs patients of their rights and provides upon request the information regarding Advance Directives. - Schedules and reschedules patient appointments. Demonstrates appropriate phone etiquette while coordinating calls for the clinic. - Maintains current patient charts/files and appropriate information. Files medical records and demonstrates appropriate response to medical record request/release. - Performs a variety of clerical duties (answers telephone calls, retrieves medical records, records data, types memorandums, etc.) in a timely and efficient manner.

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