Posted in: Legal/Lawyers in Chicago | Posted: |
Job Description
REQUIRED Knowledge of insurance billing procedures, ICD and CPT coding.
The Billing Coordinator, Ophthalmology reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Responsibilities:
Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed.
Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and Ophthalmology clinic billing policies and procedures.
Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans.
Works closely with the staff on managed care and referral related issues and communicates findings to patients.
Coordinates the pre-certification process with the clinical staff.
Handles billing inquiries received via telephone or via written correspondence.
Responsible for thoroughly investigating and understanding financial resources or programs that may be available to ophthalmology patients and educating staff and patients about these programs.
Conducts pre-certification for appropriate tests or procedures and facilitates the process with managed care and the clinical team.
Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to pre-certification.
Performs activities and responds to patient inquiries related to billing follow-up.
Requests necessary charge corrections.
Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed.
Performs administrative activities and projects.
This role may support additional projects, perform administrative tasks, and other duties as assigned.
AA/EOE.