Responsibilities:
Claim Processing and Reconciliation:
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Posts charges, payments, and adjustments to patient accounts in an accurate and timely manner.
- Verifies patient demographic and billing information.
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Verifies patient insurance eligibility to ensure information is current and accurate.
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Responds to patient balance and billing inquiries in a prompt manner.
- Key charges into electronic billing system and payer websites when appropriate.
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Collects patient co-payments or balances due on account and enters payments into billing system.
- Processes and files billing documents as required.
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Provides internal training regarding the billing process.
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Works cooperatively within the department to resolve problems regarding billing and collections.
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Assist with medical bill processing oversight.
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Works billing reports and third-party vendor reports related to the billing process.
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Meets or exceeds department productivity standards.
Supervision and Consultation:
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Seeks supervision and consultation as needed
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Ability to work schedule as defined and overtime as required.
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Accepts and employs suggestions for improvement
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Actively works to enhance skills
Customer Service and Workplace Conduct:
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Treats consumers with care, dignity, compassion and respect
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Courteous and respectful towards consumers, visitors and co-workers
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Respects consumers’ privacy and confidentiality
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Is pleasant and cooperative with others
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Assists consumers and visitors as needed
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Personal values don’t inhibit ability to relate and care for others
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Is sensitive to the consumer’s needs, expectations and individual differences
Administrative and Other Related Duties as assigned:
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Actively participates in Performance Improvement activities
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Actively participates in AltaPointe committees as requested
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Completes assigned tasks in a timely manner
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Works in a cooperative manner with other AltaPointe employees
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Follows AltaPointe policies and procedures
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Receives and responds to inquiries of accounting matters promptly and courteously
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Assists with performance of duties of other accounting staff in periods of absence
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Performs other duties as assigned
Qualifications:
High school diploma or equivalent. Two years’ experience working in an inpatient or outpatient medical billing office required. Experience with behavioral health, substance use, or primary care a plus. Strong computer skills required. Medicaid, Medicare, or Blue Cross Blue Shield billing experience preferred.