UnityPoint Health Billing Account Specialist Lead in Urbandale, Iowa
Billing Account Specialist Lead
Unity Point at Home
Monday- Friday, 8a-5p
Full-Time Benefits, 40 Hours/ Week
Oversee daily operations within the Central Billing (CBO) in absence of the Billing Reimbursement Manager.
Answer questions and resolve problems related to billing operations as billing expert.
Monitor A/R reports and provide support to maintain goals related to DSO.
Maintain daily reconciliation/balance documents per protocol.
Performs complex billing functions such as cleanup of a large account with multiple months of billing, multiple payer issues. Work with insurance companies on difficult cases such as multiple patients not paid correctly and/or coding issues.
Recognize and report to Billing Manager any possible system problems or issues that would result in the interruption of workflow, reimbursement or other disruptions.
Assist Billing Manager with the development and implementation of new or revised policies and procedures.
Orient and train new staff.
Lead payer team meetings along with Billing Manager.
Provide communication and teaching to Billing/Account Specialists and Billing Records Technicians.
Facilitate changes to improve processes as needed
Attend seminars/meetings and present material back to the CBO.
Prepare documents for secondary claim filing.
Identify potential discrepancies in claims payment processing.
Handle inquiries regarding claims/reports.
Work to resolve carrier denials for proper payment of claims.
Share responsibility through timely communication of identified problems to assure proper follow up is completed to expedite claims and ensure proper payment.
Work accounts receivable aging reports performing follow up in accordance with policies and procedures.
Obtain, verify and maintain customer demographics and insurance information for billing purposes (i.e. admission, financial/cost, CMN, etc.).
Make payment arrangements with clients, monitor compliance and take collection measures when necessary.
Generate and process statements and claim forms in an accurate as well as timely manner.
Maintain current knowledge of carrier specific requirements by attending workshops, reading newsletters, and acting as a liaison in carrier meetings.
Clear documentation of all communication related to accounts.
Demonstrate a professional image in dealing with the public, patients, families and vendors.
Review credit balance accounts on a monthly basis.
Meets measures as determined and required for job productivity and performance improvement.
Maintain regular and consistent attendance at work.
Behave in a manner consistent with Mission, Vision, Values and Expectations for Excellence.
Maintain compliance with OSHA, Accreditation Standards and Risk Management guidelines.
Maintain compliance with Personnel policies and procedures
Behave in a manner consistent with all Corporate Compliance policies and procedures.
Perform other duties as requested by Billing Reimbursement Manager to facilitate the smooth and effective operations of the organization.
Employee is responsible for completion of communication tasks and activities in a timely manner. This would include, but is not limited to: responding to email, voicemail or telephony messages, promptly, accurately, and professionally; attending staff meetings as scheduled or viewing videotapes of those meetings; asking questions
of team members and supervisors when needing clarification about various day-to-day issues or patient needs; and reviewing employee communication pieces, to stay aware of UnityPoint at Home programs and initiatives.
Strong understanding of payer software to check eligibility, claim status, other claim information and perform adjustments and/or assist in clarification for staff.
Work with members of management team to determine and resolve issues impacting collectability of particular accounts.
Responsible for the collection of out-of-pocket payments at the time of service per established protocol.
Performs monthly cash reconciliation
Processes and tracks refund requests in a timely manner.
High School or Vocational School graduate.
Strong interpersonal skills.
Ability to work independently or as part of a team.
Ability to understand and apply guidelines, policies and procedures.
Previous homecare office experience.
Proficient in Microsoft office software.
Familiar with billing codes i.e., HCPCS, Revenue, CPT Coding, Diagnosis Coding, etc.
Requisition ID: 2018-54479
Street: 11333 Aurora Ave
Name: 9400 UnityPoint at Home Affiliate
Name: CBO- Admin
FTE (Numeric Only; Ex. 0.01): 1.0
FLSA Status: Non-Exempt
External Company Name: UnityPoint Health
External Company URL: http://www.unitypoint.org