Medical Billing Representative

Overview: The purpose of this job is to provide support for the Business Office and maintaining the Accounts Receivable system.

Essential Duties and Responsibilities:

• Researches all information needed to complete billing process. Transcribes data from source documents and enters into computer files including billing/charge information.
• Screens and reviews source documents at time of entry for proper completion and accuracy. Reviews output for accuracy of data input. Enter correcting entries.
• Participates with other staff to follow up on accounts until no balance or turned over for collection. Followsup with insurance companies ensuring that coverage and benefits are approved and claims are processed and paid.
• Assists with coding and error resolution. Posts all actions and maintains permanent record of patient accounts.
• Answers the telephone and provides information as requested. Answers patient questions and inquiries.
• Maintains strictest confidentiality. Communicates questions or concerns for prompt resolution.
• Print daily report and balances all entries. Reviews the data input for completeness and accuracy.
• Alerts supervisor of hardware or software problems.
• Prioritizes work received and completes in a timely manner. Assists other office personnel as assigned and functions as relief for other personnel in the office.
• Attends inservices and other meetings as required.
• Translating to/from English and Spanish as it pertains to your job responsibilities.
• All other duties as assigned.

Supervisory Responsibilities: No supervisory responsibilities.

Competencies:

• Knowledge of billing practices, policies, and procedures.
• Basic knowledge of coding and the ability to use the necessary coding books and materials.
• Ability to examine documents for accuracy and completeness.
• Knowledge of insurance company procedures and practices, particularly as they relate to levels and methods of reimbursements.
• Work effectively with patients and coworkers. Must be able to communicate effectively with coworkers, Revenue Cycle managers, and the COO.
• Must be able to work effectively as a team member within the business office.

Education, Experience, and Training:

• High School Diploma or equivalent
• One year of billing experience in a healthcare organization.

Physical Demands: - The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to sit for extended periods of time.

Travel: No travel required.

Work Environment – The work environment characteristics described here are representative of those an employee may encounter while performing the essential functions of this job.

• This position works in an environment with moderate noise level. (Examples: business office with computers and printers, light traffic.)

Equal Employment Opportunity Policy:

Nephrology Associates of Central Florida provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any kind without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity, or any other characteristic protected by federal, state, or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation, and training.

About Nephrology Associates of Central Florida PA

Nephrology Associates of Central Florida is a Physician owned Nephrology practice. We have offices located throughout Central Florida and have provided quality care in the community since 1974. Our physicians are Board Certified and known leaders in the care of kidneys, kidney disease, kidney stones, hypertension, organ transplant and interventional Nephrology. We provide continuous care to our patients in our offices, our Vascular Access Center, hospitals and dialysis units. We are dedicated to treating our patients and their families with warmth, respect and compassion.