Medical Billing Executive

Job Description – Billing Executive

POSITION SUMMARY: Coordinates the overall functions of Insurance Billing, Cash Posting and File Maintenance under the direction of the Assistant Manager-F&A. Must be able to perform jobs in all patient care and operational areas subject to reasonable accommodations. This is a non-union position.

ESSENTIAL JOB FUNCTIONS:

1. Ensures that accurate and timely billing is being done in accordance with established procedures. Reconciles statement with various insurance companies.

2. Keeps current regarding all reimbursement and billing procedures of third party and private insurance payers.

3. Implements appropriate billing procedures, ensuring that accounts receivable records are kept in accordance with established procedures.

4. Addresses patient account issues.

5. Reviews patient accounts for reimbursement accuracy.

6. Maintains appropriate internal controls over accounts receivable functions.

7. Monitors activities with insurance companies, Admitting, Medical Records, Information Systems, Credit & Collections.

8. Ensures that all staff members routinely utilize policy and procedure manuals and other available reference material as necessary to ensure proper course of action.

9. Establishes and enforces appropriate procedures for billing, follow-up and collection on overdue accounts and implements corrective action as necessary.

10. Maintains awareness and participates in Continuous Quality Improvement (CQI) to ensure a safe patient environment.

11. Performs all tasks demonstrating service excellence to both staff and customers.

12. Demonstrates, supports, and models the mission, vision, values and code of conduct for Dameron Hospital Association.

13. Communicates appropriately and actively to support the department mission

14. Assist Senior Financial Analyst in month end close process and preparing Journal Entries.

System Knowledge – Oracle Cerner

Qualifications Education: BCOM/MCOM/CA-intermediate/MBA

Experience: 1 to 5 years’ Experience