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At an advanced level, completes patient billing processes for assigned area.
Oversee and perform bank/payment reconciliation/balance processes, as well as any clinic deposit and cash reconciliation processes.
Complete payment posting for insurance and patient payments received for all EMR systems, including legacy systems during the AR wind down
Review, scan, and upload all electronic remittances and deposit batches to Athena on daily basis; and perform manual lockbox payment posting.
Verify all remittance amounts and research any remittance-related issues which may require calling
insurances and other extensive research
Manage daily and monthly reconciliation of payments posted with bank deposits, including posting of missed payments.
Manage and resolve Athena Unpostables and Correspondence buckets as needed.
Assist with insurance/patient refunds processing and reconciliation between accounting and PMDS, including reviewing refunds lists, obtaining check numbers for refund checks processed, and assisting in the overall unapplied credits process.
Coordinate with hospital finance to track down and redistribute payments that have been misrouted between hospital and clinic finance.
Post manual credit card payments and communicate with credit card companies to resolve issues.
Collaborate with PMDS and other LifePoint hospitals/corporate departments to disseminate best
demonstrated practices.
Ensure compliance with all relevant regulations, standards, and laws
High School Diploma equivalent required; higher level of Education preferred.
3-5 years of medical billing experience for physician practices, preferred
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. * Technical proficiency with computers, Microsoft Office, and medical software systems (PM/EHR).
Licenses:
Certified Professional Coder (CPC) - Preferred