Rep-Billing Job Description

Rep-Billing Job Description

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Rep-billing provides administrative support in billing and reporting for client contracts (contracts may contain client and non client equipment).

Rep-Billing Duties & Responsibilities

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

Sample responsibilities for this position include:

The Patient Account Representative - Physician Billing is responsible for managing all aspects of accounts receivables for assigned billing service clients to assure maximum reimbursement is being received for the physician billing department
Performs billing functions to review and take necessary actions to resolve billing errors ensuring clean claim submission
The Patient Account Representative – Follow up Billing is responsible for managing all aspects of accounts receivables for assigned billing service clients to assure maximum reimbursement is being received
The Patient Account Representative – Medicare Billing is responsible for managing all aspects of accounts receivables for assigned billing service clients to assure maximum reimbursement is being received
Maintains a thorough knowledge of third party billing and collection requirements for payers assigned
Advises manager/coordinator of any billing errors, third party payer trends, denials, or payment fluctuation, to ensure proper handling and escalation when necessary
Responsible for answering all calls from patients, peers, physicians, and facility personnel to the Centralized Billing Office and resolving account issues
Assigns diagnosis and procedure codes for each case utilizing currently accepted structures while adhering to guidelines for correct assignment of codes
Submits insurance and patient bills
Transmits claims electronically or mails out paper claims within 48-72 hours

Rep-Billing Qualifications

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

Licensing or Certifications for Rep-Billing

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

Education for Rep-Billing

Typically a job would require a certain level of education.

Employers hiring for the rep-billing 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 Rep-Billing

Desired skills for rep-billing include:

Administrative and clerical procedures and systems
Competitive environment
Account resolution and adjustments
Billing
Cloud and other products and services
Coding and collections
Contracts
Ethernet
General billing inquiry and dispute resolution
High Speed Internet

Desired experience for rep-billing includes:

Must be able to sit for extended periods of time and view computer terminal
Maintains charge entry on a daily basis
Applies contractual adjustments and other adjustments for managed care contracted patients
Monitors logs to make sure claims are submitted and received properly
Corrects rejected claims and re-bills in a timely manner
Follows-up with insurance companies to ensure receipt of bills within 28 days

Rep-Billing Examples

1

Rep-Billing Job Description

Job Description Example
Our innovative and growing company is looking for a rep-billing. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for rep-billing
  • Greets every individual on the phone or in person with a smile and a warm professional greeting for the Telehealth Scheduling & Billing Line Provides outstanding customer service to all internal and external customers including our patients, visitors, co-workers, physicians, and insurance companies
  • Enters appropriate charges which may include HB and PB charges for both IP and OP telemedicine visits following telemedicine billing processes in correct Epic boxes
  • Monitors and works over 20 billing workqueue’s
  • Maintains copies of all 8096 and FASTforward authorizations
  • Performs charge corrections per departmental requests
  • Works directly with third party payers, internal and external customers, toward effective and efficient claims resolution
  • Responds to Customer Service inquires
  • Submits replacement, cancel, and appeal, claims to third party payers
  • Utilizes all resources available, including electronic inquiries to verify eligibility, and claim status
  • Exercises good judgement towards account resolution and documents all activity on account in clear, accurate, and consistent manner
Qualifications for rep-billing
  • Decision Making – Identifies issues, problems, and opportunities
  • PC Skills – Demonstrates proficiency in Microsoft Office (Excel, Word, and Outlook) applications
  • Experience with Microsoft Outlook which includes the ability to read understand and respond to emails received, sort and categorize emails, set up signature, and utilize task option
  • Experience with Microsoft Excel which includes the ability to understand and interpret simple spreadsheets and create and modify simple spreadsheets
  • Knowledge of Federal and State regulations applicable to Government and Insurance Collections
  • Working knowledge of computers and demonstrated proficiency in using e-mail systems, Internet and MS office software applications with emphasis in Word and Excel
2

Rep-Billing Job Description

Job Description Example
Our growing company is hiring for a rep-billing. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for rep-billing
  • Identifies billing problems and corrects them
  • Review, verify and correct Lab orders to ensure accurate and up to date patient demographic and insurance information on HIS, LIS and Billing Systems
  • Utilize multiple computer systems to input and source patient billing information (UHHS, AthenaNet, IDX, Soarian, Soft Lab/AR, HARP, OnBase and POS/Virtual Merchant)
  • Provide excellent customer service to all internal and external customers while researching and resolving patient billing issues
  • Balance out cash drawers
  • Collect administrative and financial documents from patients
  • Answer phones and screen incoming calls
  • Familiarity with Managed Care Contractual Obligations
  • Attends all required training classes
  • Maintains cooperative and professional relationships with physicians, nurses and office staff
Qualifications for rep-billing
  • The Basic Computer Literacy Assessment score must be current within one (1) year of (contact Local HR Office for testing)
  • Proficient with patient accounting and computerized collection systems and use Windows operating system and Microsoft Office Applications (WORD, EXCEL)
  • Ability to read, write and perform mathematical computations at a high school level
  • Must be able to sit at a computer screen and keyboard for extended periods of time
  • Is able to adapt to changes in the work environment, can change approach or method to best fit the situation
  • Experience in Commercial Services (B2B) preferred
3

Rep-Billing Job Description

Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of rep-billing. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for rep-billing
  • Assist with other billing duties as needed
  • Resolves billing inquiries utilizing a variety of tools
  • Provides feedback to revise and improve billing processes
  • Meets billing deadlines and productivity measures while maintaining accuracy and quality
  • Schedules appointments accurately selecting the appropriate location, service, diagnosis and provider
  • Obtains all required clinical information including paper requisitions as needed to ensure appropriate pre-certification and follow up can be obtained
  • Confirms the telehealth visit took place and all documentation is recorded in appropriate boxes in Epic
  • Schedules follow up visits as requested by Physician in a timely manner
  • Works referral workqueue’s in all 3 EPIC boxes
  • Runs daily schedules and confirms documentation is ready for next day appointments each day
Qualifications for rep-billing
  • Must have good communication skills & basic math skills
  • Must possess strong skills in Microsoft Excel and Word
  • This position will be located on-site in Windsor, CT or Overland Park, KS
  • Associate's degree (A.A.) in Accounting or Business or equivalent from two-year college or technical school
  • They need to follow procedures and work well with other team members
  • Must have good oral & written communication skills, detail & results orientation, problem solving skills, and team work, Leadership/supervisory skills
4

Rep-Billing Job Description

Job Description Example
Our company is hiring for a rep-billing. 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 rep-billing
  • Appeal carrier denials through review of coding, contracts, and medical records
  • Maintain Outlook shared mailbox by responding and resolving ad-hoc billing inquiries
  • Provide customers with customized billing on a daily, weekly, or monthly basis
  • Liaison between the corporate office, the sales force, and end customer for their billing requirements and expectations
  • Determines appropriate issue resolution on any billing discrepancy for product, tax and/or freight
  • Continuously working on creating and updating existing and new processes as it relates to the billing requirements
  • Uses Aging data to follow up on accounts
  • Practices Service Excellence
  • Make outbound calls to verify insurance coverage
  • Convert written Diagnosis codes to ICD-9 format accurately
Qualifications for rep-billing
  • Fosters teamwork atmosphere between business and clinical stakeholders
  • Retains, recruits and manages staff to achieve strategic objectives
  • Reschedules all patients for whom insurance verification/authorization information has not been obtained prior to the patient’s appointment
  • Associate's Degree/completion of college level coursework preferred
  • Prior experience in physician office/revenue cycle operations, preferred
  • High school diploma or GED equivalent, or equivalent combination of education and experience
5

Rep-Billing Job Description

Job Description Example
Our growing company is looking to fill the role of rep-billing. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for rep-billing
  • Must understand and follow HIPAA guidelines
  • Maintains departments quality standard on follow-up and collections of routine and standard accounts
  • Maintains department productivity standard on follow-up and collections of routine and standard accounts
  • Provides customer service by answering inbound phone calls, handling complaints, resolving routine and standard issues
  • Provides reports to appropriate staff and leaders
  • Working directly with the department supervisor on special projects and staff training
  • Work closely with provider offices on patient issues
  • Review and resolve uncollected accounts and prepare charge corrections
  • Utilizes insurance company websites to expedite the account follow-up process
  • Makes appropriate corrections to system to satisfy/edit payer requirements and re-submit claims as needed
Qualifications for rep-billing
  • Ability to read and interpret documents such as safety rules, operating and maintenance instructions, procedure manuals, governmental regulations, and insurance company requirements
  • Experience includes heavy phone usage (experience preferred in call center, reception, operator, telemarketing, soft collections, front desk, ) required
  • Requires cooperation, initiative, patience and good judgment
  • Strong knowledge of Medicare billing processes
  • Ability to interact and collaborate effectively and tactfully with staff, peers and management
  • Ability to promote team work through support and communication

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