POSITION SUMMARY
To facilitate accurate Professional Provider credentialing, coding, billing, posting, and collection for
ProMedica Physicians and all other supported entities.

ACCOUNTABILITIES
*All duties listed below are essential unless noted otherwise*
1. Accurate and timely credentialing follow up for all supported providers with hospital
privileges, payor/plan credentialing, certifications, and regulations.
2. Acts as a liaison between providers/office staff and hospitals or payor plans.
3. Accurately maintains provider information in credentialing software.
4. Accurately reviews and assigns coding for professional services, including diagnosis, modifier,
and procedure codes, as well as additional payor requirements.
5. Accurately and timely input of billing information into the practice management system for
payment.
6. Accurately reviews and updates demographic and insurance information in the practice
management system.
7. Perform a variety of registration, billing, follow up and collection functions for all payers
including self-pay.
8. Verify insurance benefits, limits, and patient obligations.
9. Contact patients for necessary information pertaining to registration, billing, and collection.
10. Process financial assistance applications.
11. Post payments ,adjustments and denials to patient accounts.
12. Review accounts for outside collection or legal authorization.
13. Works with internal departments to obtain information for external requests including
refunds.
14. Reviews debits, credits, refunds, bad debt and contractual allowances for accuracy and
processes as applicable.
15. Knows and follows all billing regulations and corporate compliance plans.
16. Provide feedback to management on issues that impede timeliness or quality of billing and
work with management to resolve.
17. Maintains current payor knowledge for effective claims management and follow up of
unresolved claims.
18. Routinely reviews workflows for process improvement and efficiencies and provides
feedback to management for implementation of changes.
19. Independently reviews assigned workloads and completion to ensure goals are being met.
20. Acts as a resource for staff.
21. Assist management with training new staff.
22. Perform other duties as assigned.

Location: Remote