Job Title : Guest Services Concierge 2 Job Summary : Plans, coordinates and manages all related activities to billing and follow-up within the Government and Non-Government sector (Commercial, Blue Cross, Worker's Compensation, etc.). Supervision of multiple Claims Specialists and Billing Clerks. Reports to the Director of Billing Services. Education :

1. Basic college courses, college degree is preferred.

Work Experience :

1. Five to eight years patient accounting experience and two years supervisory experience required. Prior customer service experience and cash posting experience including but not limited to electronic deposit & posting process, working knowledge of insurance carriers' payment regulations including various reimbursement schemes, coinsurance and deductibles, and contractual adjustments. In addition, obtain basic computer skills and organizational skills.

Skills Abilities :

License & Cert :

1.  
   1. Job Function :
      1. Have the ability to train staff effectively and identify individual training needs. Recognize training opportunities during the daily operation of department Supervises the billing and collection process for SDMA and or SDPS Maintains established policies and procedures, objectives, quality assurance program and monitors staff for compliance of confidentiality policy in accordance with HIPPA regulations Utilizes metrics to improve performance and productivity, identify payer issues and recognize staff barriers Work with the Director and Billing Manager to implement appropriate billing and collection procedures, ensuring that the accounts receivable records are kept in accordance with established procedures. Responsible for the timely submission of first time clean claims as well as monitoring daily follow-up of unpaid claims Maintains appropriate internal controls over accounts receivables. Keeps current on all reimbursement billing procedures of third party and private insurance payers. Proactive identification of simplification/automation opportunities Communicates with largest percentage payers to resolve aged accounts and alleviate process breakdowns Researches credit balance accounts and is responsible for the refund process for both patient and insurance overpayments Participates in staff meetings and attends other meetings as assigned Promotes inter-departmental meetings with clinic liaisons to discuss registration and scheduling, insurance verification, frequent billing and follow-up issues, etc. Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops Possesses strong interpersonal and communication skills and the ability and desire to work with diverse staff Perform miscellaneous job-related duties as requested
      2. Prolonged periods of standing, walking, or sitting while on duty. Lifting, pushing, and pulling up to 10-15 pounds with or without assistance. Visual and auditory acuity and manual dexterity essential to performing designated duties required. Ability to perform effectively in a stressful and fast paced environment. Ability to pass all required health and other screening tests. Physical conditions are clean, neat and well lit. Maybe subjected to unpleasant sights and odors, stressful situations and hazardous or infectious agents where judgment as to precautions need to be taken is essential. Climate control an ambient temperature variances may be experienced. Exposure to limited amounts of hazardous chemicals or substances and infectious disease processes are a possibility. Hours of duty may be irregular or unexpectedly extended due to emergency circumstances. Direct contact with blood or other body fluids to which universal precautions apply. Personal protective equipment is made available and must be worn.