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Priority Ambulance · 21 hours ago

Contract Biller

Conyers, GA

Contract

Onsite

New Grad, Entry Level

Priority Ambulance is seeking a Contract Biller responsible for managing all billing, tracking, reporting, and collections for various facilities including nursing homes and hospitals. The role involves generating invoices, addressing customer inquiries, and ensuring compliance with company policies and regulations.

Health CareHome Health CareTransportation

Responsibilities

Demonstrates knowledge, understanding and compliance of company policies and procedures

Responsible for generating and sending out invoices for all contract/facility billing for subsidies, special events, hospitals, nursing homes, hospices, and other customers for contracted and non-contracted facilities

Responsible for all follow-up on customer invoices for all contract billings for subsidies, special events, hospitals, nursing homes, hospices, and other customers as documented in the Facility Accounts Receivable Review and Collection Process SOP

Responsible for answering all customer questions on invoices for contract billings for subsidies, special events, nursing homes, hospitals, hospices, and other facilities

Demonstrates ability to thoroughly understand every executed agreement and determine when and if a facility is responsible for any invoices versus an insurance payor or other third-party payor

Coordinate and work with local operations to ensure all special events are accurately reported and billed including representation of hours worked

Ensures that each invoice sent to the contracted facility is in fact the responsibility of that facility to pay and that the payors are in the proper order and/or inactivated before the invoice is sent

Ensure that each invoice has the correct service level assigned based on CMS and Company guidelines and coordinates with DQA and/or Billing department on any incorrect service levels

Maintains the Facility Aging & Tracking Report that shows aged balances by customer with notes on collection status to be distributed to Distribution Contacts

Responsible for tracking and reporting to Director of Revenue Operations, Regional President, Vice President of Operations, and Directors of Operations (reporting distribution hereafter referred to as “Distribution Contacts” on status of all contract accounts relievable)

Responsible for coordinating with Distribution Contacts to collect overdue accounts relievable and coordinate with legal counsel for collection notices

Responsible for updating and maintaining all data in the Contract Data Base including random audits to ensure accuracy

Processes facility rate increases including CMS Medicare annual rate increases by preparing rate change forms and then confirming accuracy of the rates after they are keyed into the Zoll billing system

Demonstrates knowledge and understanding of (and compliance with) Federal, State, and local laws, rules, regulations, and guidelines as they pertain to reimbursement, collections, and compliance

Ensures security of buildings, vehicles, equipment, supplies, systems, and all other company property

Ensures the security of all company computer systems by adhering to security procedures and utilizing appropriate passwords policies

Performs daily appropriate housekeeping duties

Complete and maintain appropriate training, certification, and licensure for their position

Maintain a high level of customer service when dealing with patients, patient families, co-workers, clients, other healthcare providers and the general public

Always maintains security and privacy of all confidential and proprietary company information in accordance with company policy

Always maintains security and privacy of all company and patient information in accordance HIPPA and all other local, state, and federal regulations

Notifies the Director Revenue Cycle of any lapses in documentation resulting in less than full compliance with compliance and HIPAA standards

Responsible for keeping billing and patient care records secure in accordance with proper HIPAA and document retention standards

Reports to assigned shifts properly groomed and attired and on time unless the proper notification has been made. Maintains and adheres to attendance policy as outlined in the Priority Company Handbook

At all times sets an example of professionalism and places customer service, compliance, and safety above all else

Notifies Director Revenue Cycle of any questions, concerns or issues regarding billing, collections, or compliance matters

Acts always with his/her personal safety in mind, as well as the safety of others

Assures all company goals, objectives and procedures are followed daily

Performs other duties as directed by management

Qualification

BillingInvoicingAccounts receivable managementCompliance knowledgeData managementCustomer serviceCommunication skillsAttention to detailTeam collaboration