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Business Services Representative

Company: Gritman Medical Center
Location: Moscow
Posted on: May 3, 2021

Job Description:

Overview

Job Summary:

Business Services Representative bills all patient accounts to the appropriate insurance company or payor in an efficient, accurate and timely manner according to payor regulations, and, as appropriate, provide assistance in regards to patient bills, customer (patients, families, physician offices, review organizations, insurance companies) in a polite and professional manner.

Qualifications

Minimum Education: High School graduate. Associate Degree preferred.

Minimum Work Experience: At least six (6) months working in a billing or insurance company environment.

Required Skills:

  • Knowledge in WordPerfect and lotus.
  • Fast and accurate on computer and good communication skills.

Responsibilities

Essential Functions:

Bills Accounts: Establishes correct payor and address. Requests and obtains required information (medical records, progress notes, accident information). Reviews for accuracy of codes (revenue, CPT, and diagnosis) according to payor. Reviews bills and insurance forms for discrepancies. Sends bill to payor, within three (3) days of computer generation or follows up with department of person information requested from.

Provides Customer Service: Answers phone within three (3) rings. Provides assistance and accurate answers to customers questions. Researches patient complaints with involved department, responding to patient with satisfactory resolution within one (1) week or providing update to patient and continue researching. General: Follow any job-related instructions and perform any other job-related duties requested by the supervisor/director.

Receptionist:

  • Manages requests and obtains required information for billing department contracts
  • Responsible for numerous reports
  • Process refund paperwork
  • Assists financial counselors

Population Served:

Adult and geriatric. All genders, race, ethnic, sociopolitical, demographic, marital and sexual preference groups, developmental and physical abilities, religions, and nationalities.

Functional Demands:

Physical Demands:

  • Lifting: Occasional-maximum of 30lbs. floor to waist, 1x every 2 months. Frequent-None. Items Lifted-UB92 document boxes. -Transfers: None. -Push/Pull: None. -Carry: Maximum of 5 lbs. 300+ yards. Example: binders. -Fine Motor: High degree required for computer and writing skills. -Computer: Computer work 95% of the day. Mouse 10%, data entry 90%. Phone with computer 15%. -Standing: Up to 5 minutes at one time and 30 minutes in one day. -Sitting: Up to 90 minutes at one time and 7.5 hours in one day. -Kneeling, Crawling, Driving, Climbing: None. -Stooping: Up to 2 minutes at one time and 15 minutes in one day.

Environmental Conditions:

Location: Inside. Minimal risk of exposure to blood borne diseases and biohazardous materials.

Organizational Expectations: Provides a positive and professional representation of the organization. Promotes culture of safety for patients and employees through proper identification, reporting, documentation, and prevention. Maintains hospital standards for a clean and quiet environment. Maintains competency and knowledge of current standards of practice, trends, and developments in related scope of job role or practice. Participates in ongoing quality improvement activities. Maintains compliance with organization's policies, as well as established practices, protocols, and procedures of the position, department, and applicable professional standards. Complies with organizational and regulatory policies for handling confidential information. Demonstrates excellent customer service through his/her attitude and actions, consistent with the standards contained in The Gritman Way.

Keywords: Gritman Medical Center, Coeur d'Alene , Business Services Representative, Other , Moscow, Idaho

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