Responsible for compiling itemized hospital bills, verifying patient insurance coverage and computing patient insurance benefits. Works closely with the Admitting Office, Medical Records and physicians' office staff. Participates in performance improvement and CQI activities. As SVH team members, we hold each other and ourselves accountable to ourselves accountable to our Standards of Excellence in everything we do: - Verifies hospital insurance information. - Compiles hospital bills, completes appropriate forms, submits claims to proper agencies/insurance companies. - Contacts patients/insurance companies to collect unpaid insurance claims. - Codes patient insurance/demographic information for data entry. - Stays informed about changes in Medicare, Medicaid and other insurance carriers. - Maintains current patient accounts and addresses in the computer system to avoid loss of claims. Always verifies patient account number. - Types and mails all correspondence in a timely manner. - Answers the telephone in a polite manner. Communicates information to the appropriate personnel. - Demonstrates the ability to be flexible, organized and function well in stressful situations. - Interacts with patients/families in a professional manner. Provides explanations regarding statements, insurance coverage. - Treats patients/families with respect; ensures confidentiality of patient records. - Maintains a good working relationship within the department and with other departments. - Maintains a professional working relationship with insurance companies. - Downloads primary claims from CPSI on a daily basis and prepares for transmission. - Sends out secondary billing as needed. - Works credit balance report on a weekly basis. - Works unbilled claims report on a weekly basis ensuring no bills are left unbilled. - Works aged trial balance report on a monthly basis to ensure no bills go past timely filing. - Cross training in other business office areas. - Performs other duties as assigned. - Ensures documentation meets current standards and policies.