Position Summary:  Under the direction of the Revenue Cycle Management Team, the Billing Associate is responsible for providing effective and accurate processing claims, processing and posting of insurance/client payments and refund requests for RCM. Researches, troubleshoots, and analyzes billing, follow up and posting payments.

Complete billing in a manner consistent with all applicable procedures, policies, rules and regulations. Prepares and submits clean claims to various insurance companies either electronically or by paper. Manage all denials and rejections. Manage and maintain all billing reports which ensure collections and reduce denials (Unbilled Charges report, Billed vs. Paid, Billing Transaction Audit report, etc.). Process third party recoveries. Responsible for adjustments and write-offs of uncollectible client ledger accounts. Resolve discrepancies in terms of inaccurate payment levels received. Work collaboratively with staff in the Programs to ensure billing information is accurate and appropriate and that billing is completed in an expedient manner. Practice best practices for insurance and patient collections while maintaining excellent public relations. Work collaboratively with the Eligibility and Enrollment Services department and Programs to ensure resolution of issues re: individuals’ eligibility (Medicaid, Commercial, Medicaid Managed Care, etc.). In a team approach, work with the Programs and Verifications unit regarding Eligibility and Authorizations. Reduce risks by understanding collection practices, clean claims and timely filing guidelines, refund requirements and other regulations. Performs office related support tasks, clerical duties and/or general office duties which may include creating reports, typing, faxing, and calling insurance carriers. Other duties as assigned.