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.

QUALIFICATIONS REQUIRED

  • 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.

QUALIFICATIONS PREFERRED

  • 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