PURPOSE OF THIS POSITION The primary purpose of this job position is to perform the day-to-day functions of the Patient Accounting Department. The associate will fulfill billing and collections functions related to all patient or client accounts assigned and maintain compliant and accurate documentation on all account activity. JOB DUTIES/RESPONSIBILITIES Duty 1: Responds to telephone traffic with patients, visitors and other hospital personnel in a courteous and timely manner. Relays accurate information promptly to the appropriate party for A/R reduction and patient satisfaction. Duty 2: Assures confidentiality of patient information. Maintains compliant documentation and records in accordance with Federal and State regulations in patient account files. Accurately documents all account activity. Adheres to all HIPAA related privacy, security and transaction & code set regulations in compliance with the Federal guidelines Duty 3: Performs primary and secondary billing functions related to all client or patient accounts, including the creation of a detailed bill and required primary & secondary insurance claims forms as applicable. Understands payer specific guidelines for prompt payment and reduction of A/R. Duty 4: Performs all insurance related follow-up duties including the working of Aged Trail Balance Reports. Contacts insurance companies and patients when necessary on insurance collections. Handles all Explanation of Benefits related to billing denials to reduce A/R and Bad Debt expense. Duty 5: Operates all departmental equipment, performs clerical functions and data entry, typing and filing. Develops, interprets and utilizes computer reports as required to accomplish timely & accurate reporting within Patient Financial Services and BVRHC for account billing and follow up. Duty 6: Regularly attends and actively participates in staff meetings, in-service and continuing education programs as offered. This provides needed educational updates for compliancy & organizational changes in the healthcare industry. REQUIRED QUALIFICATIONS
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