Job Description

JOB DESCRIPTION DETAILS

+

Job Summary

- Responsible for all patient account functions to include billing, collections, and follow up in a timely and accurate matter. Performs all duties of Accounts Receivable Representative I. Offers specialized billing and collection services for the Business Office Department for both governmental and non-governmental payers.
+

Education

- High School Diploma required, 2 years of college preferred.
+

Registration/Certification/Licensure

- None required
+

Experience

- 2-5 years of experience in a health care business office setting.
+

Other Requirements

- Maintains unit-specific and hospital competencies, mandatory learning, and any clinical certifications required in accordance with the Staff Education and Training policy GA-057 and/or any other department requirements.
- Demonstrated use of computer skills to include Windows and Microsoft Office.
- Extensive knowledge of insurance plans, coverage types, and medical terminology with demonstrated understanding of revenue cycle concepts and process flows; extensive knowledge of claims forms used for healthcare billing (UB04, HCFA 1500, etc).
- Maintains knowledge of all payer billing and collection rules.
- Ability to communicate issues effectively with all levels of staff and departments.
- Works regularly with information restricted to specific persons, discretion and integrity are recognized requirements of the job.


Location: Calvert Health System CMG BILLING SRV

Schedule: Full Time, Day Shift, 8-4 Hybrid