Performs the billing, follow-up and collections on the legal/institutional accounts for contractual services rendered. Receives patient inquires on statements received for the services provided by EVMS Health Services clinical providers.
Institutional and Legal account billing, follow-up and collections:
File the institutional account statements on a monthly basis.
Contact the various accounts payable offices responsible for the payment of these accounts to query the account status if not paid within 45 days.
Make the necessary adjustments to accounts, where appropriate.
Handle all aspects of VA Medical accounts
Respond to attorney correspondence by facilitating requested documentation. (Statements and referring the attorney to the physician’s office)
Handle the disposition of returned checks received by the bank. Post returned check charge to the patient’s account. Forward documentation to the patient for resolution of the outstanding account balance. Follows through to ensure that the patient responds to or pays to the collection agency/attorney.
Handle the bankruptcy notices by updating the patient’s and posting the appropriate adjustments
Respond to incoming patient telephone inquiries. Return patient calls retrieved from the voice mail system and the reception area within 24 hours.
Edit registration information and request insurance claims, where applicable.
Request financial interviews, adjustments, refunds, and manual account ledgers, where applicable.
Establish payment arrangements with patients on outstanding self-pay invoices.
Coordinate the exchange of patient and insurance information with the clinical departments, Medical Group departments and hospitals, where applicable.
Refer sensitive collection issues and difficult patient concerns to the Senior Par or Manager in a timely fashion.
Place the appropriate financial comments in the IDX BAR system.
Other duties as assigned.
High School graduate with at least one-year experience in a Health Care billing and collections environment.
Knowledge of Third Party Payer rules and regulations. Knowledge of CPT and ICD 9 coding practices.
A minimum of 45 WPM typing ability. Experience in ICD-9/CPT coding a must. Good Interpersonal skills.
Appreciation for confidentiality.