Biller

POSITION SUMMARY: (Briefly describe the overall purpose of this position - Why does it exist and how does it contribute to the overall organization?)

This position is responsible for the complete and accurate capture of patient insurance data and

referral/authorization management. Includes tracking and creation of referrals for all visits. Contacts patients by

telephone to collect missing pertinent data. Communicates with referring physicians and/or practices to obtain

prior approvals for services. Reviews and responds to denied claims and works toward denial recovery. In

addition, he/she will perform other related duties as required.

KEY RESPONSIBILITIES: (Use bullets for specific responsibilities)

· Provides superior customer service to internal and external clients, customers, and patients as referenced

in the “Service Excellence Standards."

· Practices and promotes a "patient-centered care model" within administrative standards.

· Provides primary fiscal management of all patient insurance and insurance referral data. The principle

focus is to ensure that all pending services have appropriate insurance coverage and is reimbursable.

· It is expected that all telephone communication will be answered or initiated in a cheerful and welcoming

manner as per the policy of SMG.

· Review and respond to all insurance rejection and/or claim denial reports and professional billing

agencies. Initial review will be made in collaboration with the Practice Manager. However, the Billing is

responsible for follow through of the recommendations made and achieving denial recovery of those

charges. All responsive documentation is to be retained and filed for continual monitoring and follow up.

· Perform all other related or similar duties as required or as requested by the Practice Manager or Director

of Practice Management.

· Participates in role expansion, personal and center development.

· Assist with administrative cross-coverage and other assigned duties.

REQUIRED KNOWLEDGE & SKILLS: (Examples: Ability to work independently and take initiative; Good judgment and problem solving skills; Communication skills; Interpersonal and organizational skills; Level of confidentiality)

· Organizational and problem solving skills.

· Monitor staff efficiency and adherence to policy and procedure.

· Must be able to multi-task and prioritize daily tasks.

· Excellent written and communication skills.

· Proficiency with computers.

· Ability to work independently and take initiative.

EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:

I. Education: Associates Degree

II. Experience: 2-3 years of experience in Referral/Billing Management required

III. Certification/Licensure:

IV. Software/Hardware:

V. Other: Computer literacy, Familiarity with Referral/Insurance Eligibility Programs, Microsoft Office

including Word, Excel, Access

Salary Range: $12.00 - $22.00

About Steward Health Care
Over a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.
As the country's largest physician-led, minority-owned, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.

Based in Dallas, Steward currently operates more than 30 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, and Texas.

For more information, visit steward.org