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
Minimum Education: High School graduate. Associate Degree
Minimum Work Experience: At least six (6) months working in a
billing or insurance company environment.
- Knowledge in WordPerfect and lotus.
- Fast and accurate on computer and good communication
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.
- Manages requests and obtains required information for billing
- Responsible for numerous reports
- Process refund paperwork
- Assists financial counselors
Adult and geriatric. All genders, race, ethnic, sociopolitical,
demographic, marital and sexual preference groups, developmental
and physical abilities, religions, and nationalities.
- 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.
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