Billing Rep Job Description

Billing Rep Job Description

155 votes for Billing Rep
Billing rep provides training to employees for improving their billing, and collection effectiveness along with knowledge of Excel, Word; and Crawford billing systems.

Billing Rep Duties & Responsibilities

To write an effective billing rep job description, begin by listing detailed duties, responsibilities and expectations. We have included billing rep job description templates that you can modify and use.

Sample responsibilities for this position include:

Keeps contact information spreadsheet for each service line current and communicates changes with the appropriate OS (originating site) and DS (distant site) locations
Generates patient statements as required and makes financial arrangements with patients
Posts refunds to accounts once a check is generated and ready for mailing
Ensures computer profiles and charges are set up, and enters concise and accurate notes in the “comments” section of the patient account in a timely manner
Informs the Business Office Director/Manager of all problems in a timely manner
Performs quality audits on admitting paperwork
Verifies that all supplies are correctly captured and billed
Ensures that all scheduled or performed cases are accounted for and billed
Documents all phone calls in the computer
Maintains daily communication with purchasing manager and A/P to ensure all supplies are captured and billed appropriately

Billing Rep Qualifications

Qualifications for a job description may include education, certification, and experience.

Licensing or Certifications for Billing Rep

List any licenses or certifications required by the position: CAC, GOLD, CPC

Education for Billing Rep

Typically a job would require a certain level of education.

Employers hiring for the billing rep job most commonly would prefer for their future employee to have a relevant degree such as High School and Bachelor's Degree in Education, Financial Services, Accounting, Guidance, Associates, Computer, Business, Technical, Business/Administration, Medical

Skills for Billing Rep

Desired skills for billing rep include:

Federal and State regulations applicable to Government and Insurance Collections
Internet and MS office software applications with emphasis in Word and Excel
Physician billing regulations
Computers and demonstrated proficiency in using e-mail systems
Competitive environment
Computerized physician billing systems
Database and email applications
Word processing
What we are contractually obligated to adjust

Desired experience for billing rep includes:

Two years experience in professional medical billing office
Three (3) years experience in professional medical billing office
Must be able to use a high level of judgment, initiative, and resourcefulness when dealing with internal and external customers
Demonstrated ability to provide leadership to others
Working knowledge of IDX preferred
6 months experience in professional medical billing office

Billing Rep Examples


Billing Rep Job Description

Job Description Example
Our company is looking to fill the role of billing rep. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for billing rep
  • Perform due diligence to contact patient by phone and/or sending a letter
  • Resolves patient account issues through rebilling, setting payment arrangements, obtaining payment, updating insurance, researching payments, and correction of patient information
  • Partners with other revenue management areas and facilities to achieve resolution
  • Researches and resolves issues to meet customer needs
  • Demonstrates good judgment in allotting proper time to any telephone contact, while maintaining a professional attitude
  • Completes each transaction to resolution
  • Handles stressful situations with professionalism and tact
  • Uses a professional attitude and a high degree of customer service when dealing with customers, including patients, physician offices, payers, and other hospital departments
  • Communicate and assist patient’s with Financial Assistance Program
  • Work closely with HIM departments on processing Release of Information requests
Qualifications for billing rep
  • High School diploma with 3 years’ experience in physicians or hospital
  • Minimum of two years billing experience required
  • Able to interact with physicians, patients and co-workers in a professional and helpful manner
  • Use of an adding machine
  • Experience in understanding and usage of computers the ability to learn applications relavant to the position, required
  • Experience includes heavy phone usage positions (call center, receptionist, operator, telemarketing, soft collections, front desk, ) required

Billing Rep Job Description

Job Description Example
Our innovative and growing company is looking to fill the role of billing rep. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for billing rep
  • Assists customers with obtaining and/or the completion of required medical documentation or other paperwork
  • Assists in the handling of customer’s financial matters, insurance coverage or not, and makes arrangements for payment
  • Coordinates work to achieve maximum productivity and efficiency
  • Reviews and confirms all deliveries
  • Provides phone support, relays messages to the appropriate party and takes messages as needed
  • Provides clerical support as needed, makes copies, files
  • Assists Accounts Manager as necessary
  • Some A/R Follow-Up
  • Accurately identifies patient record using a minimum of two patient identifiers (name, DOB, SSN) ensuring that the correct patient is always selected and minimizing duplicate MRN errors
  • Accurately inputs all patient demographics and insurance information into the patient record in Epic (or applicable health information system)
Qualifications for billing rep
  • Minimum 2 years office experience, preferably in a health care setting
  • ICD-9 10 Coding experience helpful
  • Minimum (5) years in call center/customer service, minimum (1) year management experience required
  • Previous healthcare
  • Must have NC state Phamacy Technician license and certification required by government regulation
  • Strong computer skills and data entry skills, project management skill required

Billing Rep Job Description

Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of billing rep. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for billing rep
  • Runs a SOW several times daily and schedules visits for IP consults
  • Assists office staff with duties as assigned
  • Provide patient account information and answer customer queries
  • Obtain and enter authorizations, insurance and demographic information accurately and timely to ensure clean claims are released
  • Timely follow-up on insurance claim denials and exceptions
  • Respond to inquiries from Case Managers, insurance companies, and internal customers in a timely manner
  • Regularly attend monthly staff meetings and in-house training
  • Use ACTS work list report to enter initial follow up date and understands and uses Medi system
  • Able to create and use Excel spreadsheets
  • Downloads and edits claims
Qualifications for billing rep
  • Problem solving - Identify and resolves problems in a timely manner
  • Communications - Able to communicate clearly, tactfully and succinctly in a variety of communication mediums, settings, and styles
  • Judgment - Displays willingness to make good and accurate decisions in a timely manner
  • Teamwork - Supports co-workers and understands the importance of working effectively within a group
  • Organization - Good organizational skills with strong discipline and work ethic to consistently meet deadlines with a high degree of accuracy
  • At least 1 yr of medical billing experience or equivalent experience in a hospital Business Office

Billing Rep Job Description

Job Description Example
Our company is looking for a billing rep. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for billing rep
  • Meet Revenue Cycle Quotas and Goals within the Accounts Receivable Department
  • Keep accurate notes and account records
  • Manage heavy phone calls and respond to denials promptly
  • Maintain accurate insurance information within software program
  • Review account receivable claims and contact clients regarding outstanding missing information providing necessary paperwork and information
  • Provide monthly reviews and recommendations for accounts going into escalation status
  • Review insurance denials and actively work the accounts for payment
  • Enter insurance information and maintaining accurate insurance profiles, payor IDs
  • Maintain tracking system for follow up on accounts and tasks
  • Utilize payor websites to look up eligibility and plan details
Qualifications for billing rep
  • 1 year experience in Insurance industry preferred
  • 1 year experience in financial services industry preferred
  • Minimum 1 year of practical experience with billing, bookkeeping and/or collection services required
  • Lab and healthcare experience preferred
  • Experience with billing Sate and Local clients preferred
  • Must be detail-oriented and organized, with good analytical and problem solving ability

Billing Rep Job Description

Job Description Example
Our company is looking to fill the role of billing rep. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for billing rep
  • Work assigned patient accounts and rejections within department guidelines
  • Ensures that claims are submitted accurately and timely, with appropriate documentation, ICD-10 diagnosis, modifiers, claim status codes, authorization numbers, invoices, per timely filing limits
  • Take initiative independently to resolve a variety of claim matters
  • Verify accurate reimbursement per contractual agreements in collaboration with central Revenue Cycle including the payment posting team as needed
  • Serves as a resource and subject matter expert to others within the department
  • Facilitates training and education for new and existing departmental staff
  • Participate in formulation, evaluation, and revision of departmental policies and procedures
  • Retrieve and send invoice documents via mail, e-mail, and fax
  • Set-up and execute winshuttles for various sales order and invoicing tasks
  • Upload and or entry of invoices electronically via web interface thru various websites and platforms
Qualifications for billing rep
  • Third party or patient collections experience
  • Minimum of 3 year medical billing experience required
  • Completes claims submission on a weekly basis for assigned clinic
  • Handles all account correspondence for assigned clinic
  • Communicate with clinic on medical necessity issues
  • Meets with patients/representatives to produce financial summaries and arranges payment methods/arrangements

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