Billing Specialist

The CBO Representative is responsible for accurate and timely billing and follow-up of all claims to ensure prompt payment from all payers. This would include all communication and research regarding patient accounts with all departments involved.

GIBSON AREA HOSPITAL & HEALTH SERVICES MISSION STATEMENT:
To provide personalized, professional healthcare services to the residents of the Communities we serve.

• Run required daily reports for preparation of billing follow-up of patient accounts with all Medicare, Medicaid, Blue Cross, Commercial and all third parties.
• Make outgoing and receive incoming calls and answer inquiries from patients, insurance companies and all other parties regarding the status and billing questions concerning claims.
• Ensure appropriate, accurate and timely follow-up to all insurance companies based on established policies and procedures.
• Review patient account information received from admissions and out-patient registration. Identify any missing information and determine what avenue to take to ensure timely follow-up.
• Adequately respond to billing questions and provide clarification to customers.
• Develop and maintain appropriate communication with insurance payers, outside agencies and internal departments.
• Appropriately refer all non-routine issues to management for clarification.
• Accountable for updating and preparing correspondence to customers and insurance payers as necessary.
• Effectively communicate customer needs with the appropriate level of urgency.
• Process and scan all EOB’s/Correspondence received within 2 business days.
• Re-bill and reprocess all Denials and Rejections ensuring all avenues are explored to resolve issues with Insurance Payers.
• Take incoming calls from patients regarding their insurance and billing.
• Process all walk-ins.
• Resolution of Credit Balance reports Monthly.
• Ability to work with fellow staff in a professional, courteous and respectful manner at all times.
• All other duties assigned by Director of PFS or Executive Director of Revenue Cycle.
• Work the denial program daily.

Entry level

Full-time

Accounting/Auditing and Finance

Hospitals and Health Care

The base pay range for this position is $17.00/hr - $22.00/hr.