The following description of job responsibilities and standards are intended to reflect the major responsibilities and duties of the job but is not intended to describe minor duties or other responsibilities as may be assigned from time to time.

Requirements: Understand the healthcare industry, specifically the Urgent Care medicine sector. A minimum of one-year medical billing experience required. Knowledge of medical terminology and computer literacy are required. Computer skills as evidenced by proficiency and/or training with applicable software. Basic office skills required. Strong communication skills. Attention to detail a must. Ability to identify trends in underpayments/overpayments. Professional manner.

Essential Functions:

Completes payment and refund entry to practice management system in a timely and accurate manner including:

• Responsible for the expedient and accurate posting of payments and refunds received.

• Live check payment posting, Online Credit Card Payments, EFT deposits. Tracks credits due to insurance companies, patients, and other payers. within 72 hours.

• Records Batch totals.

• Identifies any payments not being paid at the contracted amount and communicates this to the appropriate billing representative(s).

• Validates and tracks credits due to insurance companies, patients, and other commercial payers.

• Review refund request daily for completeness.

• Compile and send the necessary documentation to the accountant for refund check processing.

• Track essential check and credit posting information in the credit balance spreadsheet.

• Update credit balance spreadsheet when checks are issued from finance.

• Prepare refund request and supporting documentation regarding overpayments.

• Daily weekly and monthly balancing of all posting and refund activity performed.

• Perform follow up on checks that have not cleared the bank and research checks that are returned for insufficient address.

• Assist Billing operations with audits for credit and payment posting.

• Identify and share payment/ credit and adjustment trends with Manager to assist in ongoing training.

• Properly communicate and document payment denials in the practice management system and to the appropriate billing representative in a timely manner

• Process Bankruptcy notifications in a timely manner.

• Attend departmental staff meetings

• Maintains all HIPAA patient confidentiality standards for medical and financial information.

• Maintain professional knowledge regarding medical billing and coding procedures, insurance carriers, federal programs etc.

• Performs all other duties assigned

ADDITIONAL SKILLS AND EXPERIENCE:

• Understands and values the importance of a team approach and resolution in dealing with insurance companies, commercial business accounts and patients.