Commercial Insurance Billing and Follow Up

Responsibilities:

• Prepare bills and invoices for medical services and treatments received
• Manage the billing for commercial insurance and managed care payers
• Perform billing functions to review and take necessary actions to resolve billing errors ensuring clean claim submissions
• Utilize all resources available, including electronic inquiries to verify eligibility, benefits and claim status
• Exercise good judgement toward account resolution and documents all activity on an account in a clear, accurate and consistent manner utilizing appropriate online system
• Maintain claims tracking for the worker’s compensation and motor vehicle billing program
• Provide support for the department and assist with special projects, as assigned
• Demonstrate excellent customer service skills when responding to incoming or outgoing calls in a most courteous manner providing clear and appropriate information as needed
• Advise team lead and/or supervisor of any billing errors, payer trends in claims processing, denials or payment fluctuations, to ensure proper handling and escalation as necessary
• Adhere to all Hospital Regulations associated with Compliance (to include HIPAA, etc)
• Is knowledgeable of and adheres to all hospital policies
• Performs other duties as assigned.

Education/Experience Requirements:

High school diploma or equivalent

Experience in billing