Representative, CBO Client Billing

Job Title: Client Billing Representative

Department: Client/Research Billing Department

Reports to: Department Manager

FLSA Status: Non-Exempt

Revised: September 2022

SUMMARY: Responsible for working client research accounts billed on both invoices and 1500

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

Daily:

· Communicates with clients via phone or email in regards outstanding invoices to obtain payment details in both Athena and Epic

· Review research billing grids, protocols, and coverage analysis to determine correct study is being performed and billed

· Review and correct prebill claim edits related to research protocols

· Works closely with KeyBank to provide necessary back-up for payments made via credit card

· Review A/R with contracts to verify charges are entered per contract to ensure contract compliance

· Research payment discrepancies and provide evidence to posting

· Answer internal and external calls and answer questions pertaining to accounts

· Makes manual corrections to invoices via PDF creator for Athena invoices

· Communicate with Supervisor any issues regarding billing discrepancies

Monthly:

· Monitor research account details for non-payments, delayed payments, and other irregularities

· Complete full audits of research clients

As Needed:

· Investigate and resolve customer queries

· Process adjustments

· Provide supervisor with details regarding any trends or severely aged A/R

QUALIFICATIONS

To perform this job successfully the incumbent must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE

High school diploma or equivalent. At least one-year previous medical A/R follow up experience required. Good computer and keyboarding skills required. Must have knowledge of office software and medical billing software with Athena or Epic experience a plus. Candidate must be able to read, interpret, and/or follow up on an EOB denial as well as understand medical terminology. Previous client billing or research billing a plus.

LANGUAGE SKILLS

Position requires ability to read and comprehend basic instructions, general correspondence, and memos. In addition, ability to write office correspondence, effectively present information in one-on-one and small group situations to customers, clients and other employees of the organization is required.

MATHEMATICAL SKILLS

Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals.

REASONING ABILITY

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. Specific vision abilities required by this job include ability to adjust focus.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.