• Under general supervision, may participate in any or all aspects of the patient processing and accounts receivable functions of the organization including billing, charge entry, collection, registration, scheduling, follow-up, coding, payment posting and credit balance resolution. • May reconcile daily IDX system receivables reports. • May balance monthly transactions and provide summaries to faculty and department administration. • Patient scheduling • Patient registration • Review patient admitting records and extracts relevant information • Records patient identification and demographic information in the computerized billing system • Contacts agency representatives to verify type and extent of coverage. • Charge entry • Performs preliminary review of source documents to determine that sufficient data are present for processing • Using alphanumeric keyboard, transcribes and/or verifies data from source documents to the medium used for entering data into the computer • Batch charges • Generate cash totals • Enter charges • Balances batches by comparing batch proofs to source documents and hash totals • Works with all areas of the organization in getting any necessary or requested documentation for patients, insurance carriers or other areas. • May interact with hospital patient accounting or records personnel to obtain patient demographic or other billing information • Operates hospital information system terminal to obtain patient demographic information, patient insurance information and status of approvals or denials • Completes processing of all inpatient and outpatient documents received on a daily basis • Assists in resolving department problems with IDX billing • Maintains records of charges, payments, third party charges, etc. • Answers patient’s questions regarding statements, agency coverage, etc. • Handles correspondence regarding collection activity and records results • Identify patient accounts for collection action when accounts become delinquent or when unable to contact patient or responsible party • May receive patient payments and/or issue payment receipts • Record CPT codes on billing form • Record ICD-9 codes on billing form • Initiates contact with patients and/or third party carriers if there is a delay in responding to statements or claims • May process incoming and outgoing mail • May receive incoming telephone calls and resolve issues communicated • Records results of mail and telephone contacts on the computer billing system • Contacts insurance carriers regarding non-payment and/or improper payment of claims • Reviews denials • Interfaces with patients, physicians, and others regarding professional billing operations and funds • Post receipts to proper patient accounts • Posts denials • Compare batch proofs and source documents for accuracy • Assists in reviewing and balancing IDX transaction reports for administration • Reconciles daily IDX receivables reports • Prepares billing statements from statistical data • Review daily billing and accounts receivable credit balance reports • Prepare daily refund check requests • Prepare other daily credit balances other than refunds • Post refund checks to patient accounts • Mail refund checks with supporting documentation