POSITION SUMMARY: With direction from the Cash Applications and Data Manager, the Cash Applications Billing Representative is responsible for executing timely and accurate posting of various types of payments to respective patient accounts. This role also coordinates patient and insurance credit balances to ensure refunds are requested in a timely manner and any other action required for account reconciliation.

REPORTS TO: Cash Applications and Data Manager

ESSENTIAL RESPONSIBILITIES:

• Demonstrate and uphold the mission statement and values of Midwest Eye Consultants.
• Process the daily application of cash receipts from various sources, i.e., insurance payors, patients in the Compulink EyeMD practice management software.
• Ensure the receipts are applied timely and accurately.
• Monitor and balance the daily receipts and adjust workflow accordingly.
• Identify and research any receipts received that are not patient related accounts.
• Balance and prepare daily reconciliation report.
• Assist and address timely inquiries from patients and/or office staff as needed.
• Assist on various requests associated with cash/receipts as requested.
• Perform any other related duties as assigned by Supervisor.

OTHER RESPONSIBILITIES:

• Demonstrate knowledge of the content and context of billing forms and documents such as insurance remittances, explanation of benefits and HCFA forms.
• Strong knowledge of Compulink EyeMD and/or any other practice management software applications, specifically patient ledgers.
• Maintain strong working knowledge of third party billing and collection policies, procedures and laws.
• Demonstrate knowledge of insurance companies’ guidelines for claims preparation, billing and collection.
• Work with ten-key calculators, computers and practice management software in a competent manner.
• Protect MWEC and its assets by following all billing and compliance guidelines, rules and regulations and never knowingly committing a fraudulent act.

EDUCATION AND/OR EXPERIENCE:

• A minimum of one (1) year experience in patient services and or Medicare/Medical billing.
• Experience in Optometry/Ophthalmology billing preferred.

COMPETENCIES:

• communication skills
• attention to detail
• adaptability
• customer service oriented
• problem solving skills
• integrity
• confidentiality
• decision-making skills
• adaptable to change
• stress tolerance

PHYSICAL DEMANDS AND WORK ENVIRONMENT (per ADA guidelines):

• Physical Activity: Talking, Hearing, Repetitive motion.
• Physical Requirements: Sedentary work. Involves sitting most of the time.
• The worker is required to have visual acuity to determine the accuracy, neatness, and thoroughness of the work assigned.

PERSONAL DEVELOPMENT:

• Demonstrate and maintain technical knowledge of the job and of related procedures and policies in order to provide high quality support to the department. This may involve participation in advanced training and/or certification in field as appropriate.

Behaviors

• Thought Provoking: Capable of making others think deeply on a subject
• Team Player: Works well as a member of a group
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
• Enthusiastic: Shows intense and eager enjoyment and interest
• Dedicated: Devoted to a task or purpose with loyalty or integrity

Motivations

• Goal Completion: Inspired to perform well by the completion of tasks
• Self-Starter: Inspired to perform without outside help
• Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals
• Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization