Job description

Come join our team! Southwood is undergoing growth with the development of a new 108 bed hospital.

SUMMARY:

The Lead Biller / Collector coordinates and prepares all aspects of patient receivables to facilitate timely reimbursement. The position has the potential for future growth and development within the Business Office. The incumbent may have the ability to advance into an Assistant Business Office Director and/or Business Office Manager role in the future.

ESSENTIAL FUNCTIONS:

1. Customer Satisfaction-maintains a professional, courteous and caring attitude with co-workers, patients and families, medical staff and all others in contact with during business day, with less than three complaints per year.

2. Meets daily, weekly and annual goals within designated time frames.

3. Completes billing and rebilling of claims timely and efficiently in order to meet department accounts receivable goals.

4. Posts correspondence daily and accurately.

5. Posts and batches payments daily upon receipt of deposit and proper documentation, ensuring batches balance appropriately.

6. Posts and batches all charges upon receipt when appropriate and with notation of any exceptions.

7. Reviews Inpatient and Outpatient unbilled reports prior to bill selection to ensure accuracy and timely submission of claims.

8. Ensures that all claims are dropped within three business days of discharge day.

9. All primary claims transmitted (billed) within one business day of bill selection.

10. Process and mail paper claims within one business day of bill selection,

11. Re-bill claims resubmitted within one business day of notification.

12. Works credit balance accounts upon identification in order to meet department goals.

13. Performs account follow-up as directed by current department and monthly goals.

14. Maintains on-line system documentation of all communication, correspondence and follow-up.

15. Notifies Business Office Manager and CFO of relevant activities or information that will significant affect the billing or collection process as it occurs.

16. Maintains competence in identified universal, core and critical competencies

17. Performs other duties as required

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• High School diploma or equivalent required.
• Some college course work preferred.
• Two or more years’ job-related experience required.
• Two or more years’ hospital billing required. Preferably in behavioral health.

IMPORTANT: We are a Drug Free Workplace and an Equal Opportunity Employer.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift

Education:

• High school or equivalent (Required)

Experience:

• Related: 2 years (Preferred)
• Hospital Billing: 2 years (Required)

Work Location: One location

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