Representative - Billing L1

Job description

Atlas Healthcare Partners exists to form strategic partnerships with health systems across the nation to develop, manage and operate Ambulatory Surgery Centers (ASCs) in their markets. As a key player in this rapidly growing healthcare segment, we are committed to providing exceptional care and outstanding customer service to every patient, every physician, every time. Our daily focus revolves around our core values of Integrity, Culture, Teamwork, Respect, and Results. In addition to fostering a workplace that encourages professional growth and advancement, we provide industry-leading health and dental benefits, paired with a matching retirement package. We look forward to you being a vital part of our journey in shaping the future of healthcare. POSITION SUMMARY This position coordinates and facilitates patient billing activities in one or more assigned areas of the billing workflow. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner. ESSENTIAL FUNCTIONS • Billing claims from the Atlas workflow and practice management system within revenue cycle guidelines for productivity, timeliness, and accuracy. • Builds strong working relationships with assigned business units, ASCs, and/or provider offices. Identifies trends in rejections, denials, and payer rules and communicates with internal and external teams as appropriate to educate and correct problems. Provides assistance and excellent customer service. • Works as a member of the Revenue Cycle team to achieve goals in days to bill, rejections, first pass rate, and productivity among other key measures. • Works to meet the productivity and quality targets set by the billing manager. • Other duties as assigned. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day. NOTE: The essential functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager. SUPERVISORY RESPONSIBILITIES None DIRECTLY REPORTING Manager – Billing TYPE OF SUPERVISORY RESPONSIBILITIES None SCOPE AND COMPLEXITY Works independently under general supervision, following defined standards and procedures. Reports to a Supervisor or Manger. Uses critical thinking skills to solve problems and reconcile accounts in a timely manner. External customers include all hospital patients, patient families and all third-party payers. Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members. PHYSICAL DEMANDS/ENVIRONMENT FACTORS OE - Typical Office Environment: • Requires extensive sitting with periodic standing and walking. • May be required to lift up to 20 pounds. • Requires significant use of computer, phone and general office equipment. • Needs adequate visual acuity, ability to grasp and handle objects. • Needs ability to communicate effectively through reading, writing, and speaking in person or on telephone. • May be required to travel to various locations. MINIMUM QUALIFICATIONS High school diploma or GED required. Requires knowledge of basic revenue cycle functions including at least one of the following: patient financial services, collecting services, or insurance industry experience processes normally acquired over up to 2 years of work experience. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences. Strong knowledge in the use of common office software, word processing, spreadsheet, and database software is required. PREFERRED QUALIFICATIONS Experience with HST Pathways or Waystar systems preferred.