Billing Collections Job Description
Billing Collections Duties & Responsibilities
To write an effective billing collections job description, begin by listing detailed duties, responsibilities and expectations. We have included billing collections job description templates that you can modify and use.
Sample responsibilities for this position include:
Billing Collections Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Billing Collections
List any licenses or certifications required by the position: CAC, GOLD, CPC, TDS, E2E
Education for Billing Collections
Typically a job would require a certain level of education.
Employers hiring for the billing collections job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Accounting, Business, Finance, Education, Technical, Associates, Communication, Healthcare, Computer, Business/Administration
Skills for Billing Collections
Desired skills for billing collections include:
Desired experience for billing collections includes:
Billing Collections Examples
Billing Collections Job Description
- Responsible for performance management of patient team members including assessing current-state skills and capabilities then creating and executing individual development plans to improve individual and team performance
- Responsible for providing career counseling and development to enable each patient team member to reach his or her potential and to fulfill their career aspirations
- Responsible for delivering routine and consistent feedback to members of the team using informal and formal methods including but not limited to the Ulysses Coaching and Mentoring program, the departments Quality Monitoring program and the formal mid-year and annual review process
- Responsible for utilizing the company’s rewards and recognitions programs to highlight team member’s contributions and successes
- Responsible for maintaining updated job descriptions, roles and responsibilities and goals for the different roles within the team and ensuring that each team member has reviewed and signed off on their respective job description
- Responsible for promoting a productive work environment for the patient team members by ensuring they have access to the tools and resources to be successful
- Responsible for the assignment of tasks to the members of the patient team including assignments to projects and/or production support, reporting or any other special project or duties as deemed necessary and appropriate
- Responsible for measuring and monitoring the quality of work delivered by the patient team members
- Responsible for supporting the patient team members in meeting their commitments on assignments
- Responsible for administrative support and oversight of the patient team to include PTO management, timesheet approvals, weekly status updates and other administrative tasks deemed necessary and appropriate
- Responsible for onboarding and training of new patient team members
- Responsible for providing support and direction to the other RCM team members on project related items needing assistance or escalation
- Provide support and direction to other members of the RCM team to assist in developing functional knowledge in areas of expertise
- Ensures the coordination of invoice activities leading to timely reimbursement of receivables using available resources including databases, internet, and telephone
- Researches and resolves denials received that have not passed payer edits and may lead to a final appeal of denied services
- Provides guidance, assistance, education, and communications with internal and external customers related to insurance and government payers claims processing protocols
Billing Collections Job Description
- Evaluates, analyzes and monitors the processing of invoices and on-line notes, utilizing a Windows based data processing system
- Contacts providers, physicians, and/or patients to retrieve appropriate medical documentation to substantiate services provided and engage them in assisting CareCentrix in collecting for the payer
- Provide payers with detailed itemization of services performed to ensure timely reimbursement
- Inputs computer information for electronic processing and edit of eligible claims
- Analyzes edit reports
- Processes correspondence and requests from payers
- Handle account reconciliations associated with payment applications
- Maintain Billing Department filing function
- Archive finalized invoices, pro-formas, and cash receipts
- Retrieve client disbursement copies and internal documentation as requested
- Microsoft Excel proficient ((Formatting, V-Look Ups, Pivot Tables)
- Medical collection and/or medical insurance billing experience involving insurance follow up OR vocational school certification in medical insurance and billing
- Knowledge of Medicare, Medicaid, workers’ comp
- Commercial, Medicare, Medicaid and workers’ comp knowledge
- Oversee electronic distribution of monthly status reports
- Provide assistance in setting up new client matters in Elite when necessary
Billing Collections Job Description
- Ensure that sound and reasonable credit approval decisions are implemented and adhered to on a timely basis
- Ensure that all deadlines and guidelines for aging analysis are met
- Ensure all traffic departments complete and reconcile billing in a timely manner to ensure billing occurs within the allotted deadlines
- Ensure that a positive, communicative and collaborative relationship exists with dependent departments, including Sales and Pricing and Inventory, IT and Financial Systems to assist in resolving software and system issues
- Ensure cash reports from bank are posted and reconciled daily, to also include IFC Films
- Ensure staff resolves billing and accounts receivable discrepancies, all other customer service related issues such as priority and customized billings, by communicating with Sales and advertising agencies
- Coordinate monthly interface and close process in Oracle A/R with Financial Systems timely in accordance with close calendar
- Responsible for accounts receivable processes for IFC Films, including processing adjustments, invoicing and mailing of statements and providing the information to accounting
- Work with legal where applicable to initiate or file necessary paperwork for bankruptcy or collection issues
- Maintain Millenium database for completeness on individual agency files and correspondence
- Manage the day-to-day activities of staff to ensure that the staff is properly trained in the technical and engaged in the business aspects of their job
- Prepare and review annual performance appraisals
- Manage the relationships with various IT, Financial Systems and software vendors to provide the department with adequate tools to perform the tasks required, by assisting in software implementation, testing and training as related to the billing, accounts receivable, and credit and collection process
- Review SOX documentation (flowcharts and activity matrix) for areas of responsibility
- Periodic review of existing processes in order to identify where efficiencies can be gained
- Minimum 5+ years previous experience managing accounts receivable, credit and collection and billing functions for a large sales organization and had experiences managing a staff
Billing Collections Job Description
- Investigates payment status and determines ultimate patient financial responsibility
- Identifies overpayments, processes refunds, adjustments, and appeals as necessary
- Minimizes patient dissatisfaction by listening attentively, maintaining a professional tone, and acknowledging their concerns
- Works with internal and external customers to obtain appropriate medical documentation, work orders, proof of delivery, or other documentation necessary to resolve open account issues
- Reviews payer payment explanation for accuracy of patient responsibility
- Maintain patient confidentiality and data integrity in accordance with Health Information Portability Accountability Act (HIPAA), and company policies and procedures
- Sends patient necessary documentation required to complete the payment arrangement process
- Takes appropriate action when patient requests assistance in reconciling their financial responsibility, including proper follow up
- Will act as a “back-up” for other collections representatives and assist them in calling insurance companies for claim status and updates
- Responsible for reviewing supporting documents
- Reliable, responsible, dependable and accountable
- Experience of having worked with Operational teams credit control, commercial finance
- Knowledge of all phases of Accounts Receivable
- RESUCE DSO and AGING ANALYSIS
- Issue rebate invoices to vendors on a timely manner according to the vendor agreements
- Manage collection of receivables and ensure that targets are met
Billing Collections Job Description
- Assist in receivables closing processes to ensure closing deadlines are met
- Act as liaison between Product Management and Accounting departments
- Resolve escalated vendor issues
- Assist with the external year-end audit
- Oversees and supports the commercial Lines Direct Bill premium practices, ensuring the billing accuracy from commission statements, DBE entries and actual policies
- Oversees and supports the Company Account Payable function and the analysis and reconciliation of Insurance Company and Brokerage Account discrepancies
- Monitors daily, the outstanding unpaid client premium
- Responsible for the Surplus Lines Tax Payable Billing and Filing Process, including training of staff
- Supervise/perform Accounts Payable (AP) processing, invoice entry, and vendor communication, in conjunction with U.S. based counterpart
- Audit and analyze accounting items entered, including appropriate classification and account placement
- Business Objects (a plus but not a requirement)
- Experience with SAP and internal information managements systems
- Must have strong computer skills, including MS Word, Excel and Outlook
- Previous collections and credit analysis experience
- Personal computer knowledge and experience such as MS Word, Excel, Outlook, is required
- Ability to read and interpret documents such as operations instructions and procedure manuals