Billing and Follow-Up

Performs daily activities as part of the billing and follow-up team in support of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates issues affecting accurate billing and follow-up activities. Adheres to proactive practices which include contacting the payer directly for payment due on accounts and reviewing and responding to all mail correspondence in a timely and accurate manner. Communicates with appropriate hospital departments to clarify billing discrepancies and obtains demographic, clinical, financial, and insurance information. Performs all routine follow-up functions which includes the investigation of overpayments, underpayments, credit balances and payment delays. Researches claim rejections, make corrections, take corrective actions, and/or refer claims to appropriate colleagues to ensure timely and accurate claim resolution.