Summary: Primary responsibility to timely and accurately update and maintain payer and patient demographic information from census updates provided by facilities. Responsible for the research and/or resolution of assigned account portfolios in accordance with Client Service Billing Policies and Procedures.
Major Responsibilities:
- Reconciles daily, weekly and monthly census updates provided by facilities. Verifies payer information, patient demographics, and other patient account information with a high level of accuracy in a timely manner.
- Responsible for maintaining an inventory of changes to account information at the facility/patient level. Ultimate responsibility to ensure the accuracy and integrity of the payer hierarchy for patient accounts.
- Works with internal and external customers to resolve assigned portfolio of accounts. Productivity records will also be maintained within expected deadlines.
- Supports other departments, such as Billing, when volume or needs dictate.
- Responsible to maintain the data integrity of alternate databases including but not limited to Payer code cross walks and bed/room stations (i.e. Hierarchy tool, Census tracker).
- Work with customers and/or electronic interface to ensure receipt and completion of census documents according to Policy and Procedures.
- Collaborate with billing team to promote accurate customer billing.
- Foster team unity and team success through the sharing of knowledge, mentoring new associates and helping others successfully meet deadlines and objectives.
- Works with Census Manager/Supervisor in researching pharmacy accounts requiring special attention, as indicated on Census reports and taking all necessary action to ensure accuracy of data being entered.
- Works with Census Manager/Supervisor and other members of the management team on special projects as needed.
- Performs other tasks as assigned.
Regarding Working Remote: Once an associate is meeting department standards they are allowed to work the hybrid schedule. This usually takes 2-3 months depending on the associate's progress.
Work Experience: Required: 1 year billing and/or collections experience.
Desired: Third Party Billing or collections/billing experience in the health-care industry; AS400 computer experience.
Skills/Knowledge:
Required: Data entry, MS Excel and Word and basic computer knowledge, ability to work in high volume, fast paced environment
Desired: Understanding of basic insurance terminology, 10-key
Shift Timings: 8am-4:30pm.
