Job Description

• MUST have at At least 2 years in Follow Up for Hospital or Clinic
• At least 1 year Hospital (UB-04) Medicare and/or Medi-Cal Billing Experience, a few shared they managed the Billing/Follow Up processes, but it was not clear they actually have performed the Hospital Billing Task for at least 1 year.

• Communicates with patients, government agencies and third party payers to gather, process and record information to receive appropriate reimbursement.
• Communicates with departments for charge information, coding updates, and other information for claim appeals. Completes billing and collection processes and prepares for distribution to appropriate sources.
• Reviews unpaid claims and obtain necessary information to resolve reimbursements. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work.

• High School Education/GED or equivalent: Preferred
• Associate?s/Technical Degree or equivalent combination of education/related experience: Preferred
• Medical billing and collections experience: Preferred

• Reviews, corrects and submits claims to payers.
• Applies developing/basic working knowledge and experience to the job.
• Reviews unpaid accounts, initiates correct actions to collect the accounts, and follows up on action to assure expected results is achieved.
• Meets or exceeds productivity and quality performance expectations.
• Reviews unpaid accounts and initiate collection action for past due and denied claims.
• Calculates write-offs and debit/credit adjustments. Provides general office support as needed. Performs other job-related duties as assigned.

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