Rio Piedras, Puerto Rico, USA
29 days ago
Business Office Clerk

PURPOSE STATEMENT:

Responsible for the timely submission of claims to third party payors and collection.  Following up on outstanding accounts receivable.

ESSENTIAL FUNCTIONS:

Provide strong customer service.

Review and submit claims to third party payors.

Assist with monthly invoicing to guarantors for continued care.

Registration and charge entry for physician services provided in accordance with policy and procedure.

Collection and follow-up on outstanding accounts receivable.  Keep collection list current.

Review and resolve accounts with credit balances.  Request refunds and/or adjustments.

Document all collection efforts and contacts in patient accounting system.

Inform Business Office Manager of any potential issues which may delay payment and/or issues with specific payors.

Resubmit claims as necessary.

Maintain log of any claim resubmissions, Rebill Log.

Perform other duties assigned.

OTHER FUNCTIONS:

Performs other functions and tasks as assigned.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

High School Diploma or equivalent required.   Must have knowledge of medical billing/collections experience required.

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