Salary/Position Classification

• $40,300 annual, Non-Exempt (Eligible for overtime)
• 40 hours per week
• This position will work onsite at UND Grand Forks, ND campus

Purpose of Position

This position is responsible for preparing claims for medical and third-party payers including insurance companies, medical assistance, workers compensation; data entry of payments and adjustments into electronic database; providing written and verbal communication with patients regarding their health care claims; researching problems within medical billing and follow through with appropriate action. This position also performs reception duties by answering phones and setting up appointments.

Duties & Responsibilities

• Patient Registration
  • Greet and register patients in a timely, professional and confident manner.
  • Input patient Demographics into EMR and Versatile (records retention).
  • Determines, verifies, and updates appropriate patient demographics within the clinic's information system.
  • Schedule appointments.
  • Notify patients of appointment changes.
  • Answer phone in a timely and professional manner while demonstrating appropriate telephone etiquette including identifying self and work area in a clear, concise, and friendly manner.
  • Route call to appropriate department or staff member and recognize and appropriately direct caller if an emergent situation in accordance with policies.
  • Use knowledge of EMR system to provide appropriate and confidential appointments.
  • Communicate and establish positive relationships with internal and external customers to problem solve, explain policies and procedures, and explain financial processes i.e. co-pays, address verification to maximize timely reimbursement
  • Establish good rapport with patients and their families and respects the patient's right to privacy
  • Appropriately track and identify cancelled appointments in the system
  • Assist providers, nurses and patients at the conclusion of visit, scheduling follow-up visits if necessary 
• Payment processing
  • Process payment for deposit according to UND Finance protocol
  • Post payment into software system
  • Process credit card payments following UND policy 
• Billing and insurance support
  • Credential new physical therapists including residents with insurance companies.
  • Determines and verifies appropriate demographics (obtain current information and validate): patient name (correct spelling of); date of birth; address; insurance coverage/information; financial class; and responsible party-guarantor in order to maximize timely reimbursement.
  • Pre-screen appointments, verifying insurance coverage, benefits, and co-pays
  • Process and review self-pay accounts receivable, answer incoming phone calls from patients regarding their accounts receivable balances, and prepare account for collections
  • Open billing office mail, prepare payment listing for posting
  • Process returned mail, contacting patient to verify correct address
  • Review provider attestation documentation and follow up with provider/residents with any corrective action necessary.
  • Assist billing staff with payment posting
  • Assist in filing insurance claims, using automated billing software
  • Submit paper claims as necessary
  • Scan intake forms and place on EMR and ERMS as appropriate
  • Use EMR to produce statements and mail 
• Accounts Receivable/Collection of outstanding accounts
  • Post payments provided by insurance companies and patients
  • Download/scan insurance payments (EOBs) and save in ERMS
  • Track Payments provided by insurance companies and patients
  • Advise customers on debt repayment
  • Identify slow-paying insurance companies and patients
  • Assist in streamlining the accounts receivable process
  • Monitor accounts to identify outstanding debts
  • Investigate historical data for each debt or bill
  • Contact clients to ask about their overdue payments
  • Take actions to encourage timely debt payments
  • Process payments and refunds
  • Resolve billing and customer credit issues
  • Update account status records and collection efforts 
  • Report on collection activity and accounts receivable status 

Required Competencies

• Understanding of medical claims billing and medical insurance
• Basic knowledge of ICD-10 diagnosis coding and CPT procedural coding manuals.
• Strong attention to detail
• Must comprehend insurance claims processing, Explanation of Benefits forms (EOB), and denials.
• Knowledge of medical office procedures, minimal coding, and the ability to examine documents for accuracy and completeness.
• Knowledge of registration procedures, extensive computer skills, basic knowledge of system applications, and billing systems.
• Knowledge of third party payers and basic bookkeeping or accounting principles is required.
• Ability to process patient and public inquiries with poise and efficiency.
• Ability to recognize, evaluate and resolve problems and correct errors.
• Must be able to work with patients and the public in a professional, confidential, and calm fashion. (Able to respond and perform effectively in stressful situations with the ability to multi-task). Ability to work independently.
• Must have excellent interpersonal skills, be detail oriented, and be able to multi-task, working on numerous projects simultaneously while meeting required completion deadlines.

Minimum Requirements

• Associates degree in medical billing or 3 years of equivalent experience
• Three years collection or billing experience in a medical setting
• Successful completion of a Criminal History Background Check

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the US and to complete the required employment eligibility verification form upon hire. This position does not support visa sponsorship for continued employment.

Preferred Qualifications

• Three or more years of experience working in medical billing setting, or medical insurance claims setting
• Bookkeeping and accounting experience