Billing/Collection- Representative

Position Title

Department

COLLECTION/BILLING REPRESENTATIVE

COLLECTION/BILLINGS

INSTRUCTIONS:

In Section A briefly describe the overall purpose of this position.  Describe the position so that someone who does not know the position will understand it.  In Section B describe the specific tasks or duties.  The percentage of time spent performing the major job responsibilities is used for job evaluation purposes only.  In Section C list the minimum qualifications, type of equipment used (including the frequency), characteristics, environmental factors relating to this position.

SECTION A: OVERALL PURPOSE OF THE POSITION

The Billing/Collection representative is responsible for the patient collections process.  This includes collecting payments, establishing budgets with patients, patient’s outstanding balance follow-up, corresponding with insurance companies, verifying insurance eligibility, and following up on status of payment with patient/guarantor, insurance companies and/or adjustors.

SECTION B: MAJOR JOB RESPONSIBILITIES

*

PERCENTAGE

1.       Always in a professional manner, contacts patients to follow up on past due accounts following MMG collection guidelines. 

• Works to secure payment from patient for outstanding amounts
• Where appropriate, works with patient to create a budget or payment plan
• Answers patient inquiries regarding their account
• Works to reduce assigned accounts receivable in accordance with MMG billing guidelines  
• Issues appeals with insurance companies
• Correspond with insurance companies and adjustors (verbally and/or in writing) to verify status of claim

65

2.       Works with outside collection agency(s) to collect delinquent accounts.

*

10

3.       Always maintains confidentiality in accordance with MMG and HIPAA guidelines.

*

10

4.       Interacts with Sr. Billing/Collection Representative and co-workers to expedite efficient and timely collections referrals.

*

5

5.       All other miscellaneous responsibilities and duties as assigned including coverage for the front desk area

5

6.       Demonstrates quality work, completes assignments on a timely basis, and makes decisions within limits of authority.   Takes initiative in problem solving, maintains confidentiality of patient and company information, and interacts with patients, co-workers, and management in a courteous and respectful manner.  Adheres to all company policies and procedures.

2.5

7.       Maintains attendance standards consistent with company policy.

2.5

TOTAL:

           100%

SECTION C: OTHER INFORMATION

RESPONSIBLE TO:

COLLECTION/BILLING SUPERVISOR

SUPERVISES:

N/A

MINIMUM QUALIFICATIONS:

Education/Experience -

High School diploma or equivalent. One year of physician billing and collections, Medical insurance administration, or related experience.

Skills/Knowledge -

Possesses effective organization, and math skills, must be able to prioritize and manage multiple tasks at the same time. Possesses effective, courteous and professional telephone skills.

Desired/Preferred Qualifications:

Knowledge of medical terminology, course work in business office administration.

Equipment Use:

Personal, computer, typewriter, telephone, 10-key, and fax machine.

Characteristics

Must be willing to effectively participate as a team member with the entire Maui Medical Group staff, must be committed to the protection of confidential information, records, and/or reports. Must have the ability to communicate effectively in a professional and courteous manner.

Environmental Factors:

Requires prolonged sitting (75%), bending, stooping and stretching for files and supplies (10%).  Requires manual dexterity sufficient to operate a keyboard and other office equipment.  Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts.