Overview Summary: Responsible for obtaining appropriate demographic and financial information. Registers patients and completes necessary documentation. Add or update patient histories as needed. Research charges for appropriate carrier code and financial class. Code and key physicians' charges into automated billing system program. Utilize resources and tools in the resolution of invoices following Company Policy for assigned special projects, payors, and/or place of service. Resolving outstanding balances with communication with internal and external personnel. Responsible for handling specialized accounts from charge through payment. Responsibilities Competencies: Hospitality: This domain incorporates the company value, "Caring." Employees are exhibiting hospitality when they are acting as hosts and are creating a welcoming, warm, and safe environment for patients, visitors, customers, and co- workers. Standards of Behavior in this domain include: First Impressions, Etiquette in Shared Spaces, Way-Finding, Patient & Customer Interaction, AIDET Communication, Patient Wait Times, Noise Levels, Patient & Visitor Problem-Solving. Communication: Recognizes the need to make the exchange of critical information in a warm, welcoming and attentive manner. Make a personal connection that leads to excellent patient care and a positive experience for all customers. Practices all applicable items on the Hospitality Checklist at https://bridge.ufhealthorg/hospitality/resources/ Achieves: Respects the patient's rights to privacy and confidentiality. Does not discuss patient care/employee information in public areas; maintains patient/employee information in a secure location. Actively listens to customers; insures customers understand both verbal and written communication. Uses appropriate body language and is hospitable in both oral and written communication. Exceeds: Is a role model in exhibiting all aspects of the communication standards on the hospitality checklist. The employee is acknowledged frequently for observable actions in his/her communications to customers. Maintains composure and provides compassion and empathy even when faced with hostility from others and/or other stressful conditions and anticipates customers' need for follow-up communication. Teamwork: Works cooperatively with co-workers, volunteers, medical staff and other team members to achieve goals. Practices all applicable items on the Hospitality Checklist at https://bridge.ufhealth.org/hospitality/resources/ Achieves: Helps and supports others in their efforts to solve customer problems and accomplish UF Health's goals, including patient/customer transition to next point of contact; listens to the concerns of the team, and communicates appropriately; shares information and own expertise with others to help others accomplish group goals; gives credit and recognition to others who have contributed to the team; supports and acts in accordance with final group decisions even when such decisions may not entirely reflect one's own position. Maintains respectful interactions with team members and treats colleagues with courtesy and respect. Recognizes coworker's accomplishments and acknowledges their successes on behalf of the team. Manage-up co-workers' contributions to the team. Exceeds: Helps to keep levels of team performance and morale high even during periods of intense pressure and high work volume; looks for alternative ways to work with others that will create better results and working relationships; solicits a diversity of perspectives on issues and uses ideas contributed by team members to shape decisions; breaks down barriers or organizational boundaries to ensure team's success. Is seen by co-workers as a role model in improving the appearance of the immediate work site as well as improving the appearance of the facilities outside of the immediate work site. Professionalism/Responsibility: This domain incorporates the company values, "Integrity," "Quality," and "Accountability." Employees are exhibiting professionalism and responsibility when they act as ambassadors of UF Health and ensure that their integrity, appearance, work environment, and quality of work improve patient and customer perceptions, and UF Health's reputation. Standards of Behavior in this domain include Personal Responsibility, Physical Appearance & Presentation, and Appearance & Maintenance of Work Areas. Responsibilities: Verify completeness of registration information. Add and/or update as needed, Verify and/or Assign financial class and code appropriately, Verify and Enter patient demographic information utilizing automated billing system, Verify Insurance coverage utilizing various online software tools. Ability to work overtime as needed based on the needs of the business. Verify and enter appropriate billing information utilizing facility computer systems. Verify and/or Assign CPT, ICD-10 and Modifier codes are utilized for each patient encounter, as needed. Verify and/or Assign Key Data Elements for charge entry such as; Location Codes, Provider #'s, Authorization #'s, Referring Physician, code and enter charges, as needed. Inform Team Leader on the status of work and unresolved issues. Alert Team Leader of backlogs or issues requiring immediate attention, as well as any unresolved issues. Contact insurance companies to ascertain the status of claims and identify additional information needed. Research and take appropriate action in regards to refunds, charge corrections, etc. with the ability to identify refund trends, as assigned. Review and work assigned WQs on a daily basis to make any corrections, resolve edits, and submit to the payor. Work A/R, including correspondence. Documents notes in the automated billing system regarding patient inquiries, conversations with insurance companies, clinics, etc. for all actions. Identify payor issues. Review PSR requests and determine course of action. Ability to recognize when a referring provider, authorization and/or a referral is needed and perform necessary research to identify same, utilizing other EMR systems, web portals, as needed. Knowledgeable regarding process to have a new provider added to EPIC. Identify trends by payor that impact A/R and communicate to leadership (Denials, payment transfers, etc.). Provides essential reporting functions as required. Perform special projects assigned by the Team Leader or Manager. Qualifications Qualifications: Experience Requirements: 3 years- Health care experience in medical billing or related position preferred 3 years - Computer experience in medical billing - preferred 3 years -Medical Billing system- preferred Education: High School Diploma - required Associates Degree - preferred Training - Medical Terminology Course preferred Additional Duties: All other duties as assigned UFJPI is an Equal Opportunity Employer and a Drug-Free Workplace.