Billing Representative-Lab FT, Day

• All team members are expected to be knowledgeable and compliant with Prisma Health's values:  Inspire health.  Serve with compassion.  Be the difference.

• Prepares and files appropriate claims and patient statements.  Edits and corrects failed claims.  Monitors claims for appropriate billing.  Communicates problems.

• Receives and answers patient telephone and written inquiries regarding charges and/or billing discrepancies. Greets and assists customers.  Explains account payment and settlement processes.  Documents all customer telephone calls and billing information

• Contacts insurance carriers and/or patients as necessary.  Identifies problem accounts, research and work to resolution.  Provides duplicate billings, coordination of benefits and medical records to expedite payment of insurance claims.  Research accounts daily for credit balances and process refunds.  Respond to correspondence.  Document all billing notes and patient telephone calls.  Work and prepare reports necessary to maintain acceptable levels of accounts receivables.

• Work CRS and A/R reports; Research accounts and clean up claims.  Obtains third-party payments and document payments and denials carefully.

• Provides follow up on issues

• Performs other duties as assigned.

Supervisory/Management Responsibility

• This is a non-management job that will report to a supervisor, manager, director, or executive.

Minimum Requirements

• Education- High school diploma, GED or equivalent preferred

• Experience- Six (6) months experience in healthcare environment.Billing experience preferred