Accounts Receivable Representative I- Physician Billing
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POST DATE 9/2/2016
END DATE 11/16/2016
JOB DESCRIPTIONJob Summary
The Accounts Receivable (AR) Representative I is responsible for processing all billing related functions within the PO Centralized Business Office (CBO). This includes data entry of charges into Epic , when necessary; and processing actions to release charges/claims from Epic . The AR Representative I demonstrates general knowledge of billing practices and maintains departmental standards relating to billing functions. This role is also responsible for providing support to other departments within the PO CBO related to billing functions.
System and department specific ICARE values
INTEGRITY: We are honest and ethical in all we say and do.
COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
ACCOUNTABILITY: We hold ourselves accountable for all our actions.
RESPECT: We treat every individual as a person of worth, dignity, and value.
EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.
DUTIES AND RESPONSIBILITIES
Collaborates with the revenue cycle team to follow up on missing data that may delay claims submission
Assists with knowledge sharing, payor and department training, and provide support to other team members as advised by the Manager and/or Supervisor
Resolves edits related to billing within established Epic charge review and claim edit work queues to ensure claims are billed appropriately and timely
Enters professional charges into Epic and any associated actions to perform charge capture. Ensures completeness and accuracy of billing data (ICD-9, CPT, modifiers, etc.), when necessary.
Expedites payment of insurance medical claims by promptly billing the claims
Meets productivity and quality standards
Documents clear, concise and complete notes in system for each account worked, when necessary
Assures claims are corrected and worked at a high level of quality by visually proofreading and monitoring work output
Demonstrates the components of The Houston Methodist Experience Service Standards and translates them into specific expectations of staff to anticipate and meet customer service needs
Demonstrates and supports the Houston Methodist vision, mission and I CARE values statement
Maintains strict confidentiality of patients, employees and hospital information at all times
Ensures protection of private health and personal information. Adheres to all HIPAA and PCI compliance regulations.
Identifies claims processing issues and general billing trends and notify Supervisor and/or Manager to avoid further delay in claims processing
Remains current on billing procedures of various payors and specialty practices as directed by the Supervisor and/or Manager
Accountable for ongoing professional growth and development and participation in team meetings
High School Diploma or G.E.D., Associates degree years college preferred
1 year of physician billing experience preferred in a multi-specialty physician practice
3 years of clerical experience preferred
CERTIFICATES, LICENSES AND REGISTRATIONS REQUIRED
SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
Knowledge of Epic or professional and hospital system billing software related to registration, charge entry/billing and payment posting preferred
Strong communication (verbal and written), organizational, problem solving and team player skills
Ability to multi-task in a fast paced environment, prioritize projects and work independently with attention to detail
Demonstrate a high level of professionalism, customer service and interpersonal skills and operate under strict confidentiality due to the significant amount of PHI
Strong phone and computer skills
Knowledge of insurance requirements for physician visits and procedures
Ability to think critically and identify the global impact across the revenue cycle with a solution oriented approach
Activity Checklist attached (see below)
Equal Employment Opportunity
Houston Methodist is an Equal Opportunity Employer.
Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law.
VEVRAA Federal Contractor priority referral Protected Veterans requested.