Biller Account Representative

Position Summary The Patient Account Representative (PAR)/ Biller shall be responsible for researching, contacting, and responding to patients and responsible parties in order to resolve past-due accounts, the timely and accurate submission of claims to the responsible payer for services and products provided; obtaining necessary documentation to support claims; posting of payments; evaluation of payments received to ensure appropriate payment; timely follow-up on invoices not paid: and management of account receivables. The PAR/Biller actively supports BCHC in its efforts to maintain designation as a Federally Qualified Health Center (FQHC) and as a Patient Centered Medical Home (PCMH). Participates actively in BCHC's mission to provide exceptional patient-centered primary and preventive healthcare for all residents of Berks County, regardless of patient status. Job Description Receivables Identifies problem accounts; investigates and corrects errors. Makes recommendations for billing issues that are systematic vs individual errors. Follows-up on missing account information, Identifies source of the error. Determines if the error needs to be returned to the source of the error or corrects the error for fastest reimbursement.

Review of rejected claims/tickets/visits:

identify and correct the reason for the rejection. o Identify billing errors and fix o Identify EMR system error, forward to manager for correction and rebilling. o Identify EMR system error / clearinghouse errors, report issue to manager for resolution. Resolves past-due accounts. o Identify claims that have adjustment errors and fix the error. o Identify claims that have been rejected in error for billing the incorrect payer, Identify the correct payer via insurance portals. Update and reset to be billed. Addresses claim rejections in a timely manner. o If determined that claim is outside the timely filing limit, follow policy and procedures for adjusting the visit for timely filing write-off. Manages accounts receivable appropriately and in accordance with established policy. Processes secondary insurance billing in a timely manner. Patient accounts Answers inquiries by phone regarding past-due accounts and insurance guidelines; researches past-due accounts. Contacts responsible party to resolve delinquent accounts; prepares payment plans and monitors adherence to plans by responsible party. Directs accounts to outside collection agencies when necessary. Prepares, reviews, and sends patient statements. Payment Posting Posts payments, Posts Patient payments, and Post Insurance payments from insurance remittances. Also verifies and performs mathematical computations to ensure payments have been applied correctly. Billing Support Answers questions from patients, clerical staff, and insurance companies. Reviews accounts for possible assignment and makes recommendations to the Business Office Manager, also prepares information for the collection agency. Performs various collection actions including correcting and resubmitting claims to third party payers. Performs other duties as assigned. Composes and types routine correspondence, memos, letters, etc.

Job Type:

Full-time Pay:

$18.00 - $20.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Health savings account Paid time off Vision insurance

Experience:

Health Care Customer Service :

1 year (Required)

Work Location:

In person