We are currently seeking a qualified applicant for a full-time Business Office Support position. Under the supervision of the Director of Business Operations, this individual is responsible for assuring all clerical duties are performed accurately with attention to assisting patients, staff, and physicians in a courteous manner. Performs all billing for primary and secondary insurances for all practice location. Interacts with business office staff and facility staff as needed to obtain information necessary to submit a clean claim to insurance carriers.

Primary Duties and Responsibilities Include:

• Manages collection activities to maximize revenue to assure budgeted EBITDA results are achieved.
• Account management is performed according to internal and external benchmarks and guidelines
  • Actively participates in achieving the monthly collection goals
  • Contacts carriers within 25 days to verify claim status and resubmission of claims as necessary
  • Contacts patient's as necessary to discuss financial responsibility
  • Turns over un-collectable accounts within 90 days
  • Knowledgeable of appeal/denial logs and process correspondence accordingly
  • Utilizes adjustment and refund journals in accordance with established guidelines
• Prepares weekly, monthly and other necessary reports in accordance with deadlines.
• Analyzes aging and appeal reports and participates in the development and implementation of action plans as needed.
• Participates in the fiscal management of the facility to assure effective billing, collection, appeals, and accounts payable management, in accordance with benchmarks.
• Coding and Billing are compliant and tasks are performed within internal and external benchmarks.
  • Medical Records is coded accurately within three days of date of service
  • Charges are posted and billed accurately, either electronically or paper within three days of date of service. Performs proper review of the medical record and implants logs to assure appropriate charge capture.
  • Correspondence is reviewed, and actions taken to resolve issues.
  • Verifies the acceptance of electronic claims filings and resolves any issues in a timely manner.
  • Completes month-end tasks in patient accounting software as required.

Requirements:

• Please be local to San Francisco (REQUIRED)
• High School, with 3+ years experience in healthcare insurance billing and verification, collections and/or authorizations
• Two or more years experience in billing and collections in a medical setting preferred or comparable education
• Knowledge of medical terminology
• CPT /HCPCS codes
• Medical records
• Familiar with In & Out-of-Network insurance claims
• Experience interpreting Explanation of Benefits