Hours/Days: 8-5, Monday-Friday
Work Location: Quarterdeck Building |
Opportunities available on the Commercial/Managed Care Billing & Followup Team: responsible for billing Commercial & Managed Care contracted insurance companies and then following up on unpaid claims.
Opportunities available on the Medicaid Billing/Follow Up Team: responsible for performing billing/follow up tasks for Medicaid accounts receivable.
Must be able to effectively perform a variety of tasks and to apply payer rules to a variety of scenarios in order to achieve positive outcomes.
A High School diploma or an equivalent combination of education and experience from which comparable knowledge and abilities can be acquired is necessary. Two years clerical experience is necessary. Prior experience in patient accounts, medical office, and/or bookkeeping preferred. Effective communication, time management, analytical and computer skills.
Process insurance and/or payment claims, including submission, follow up and payment application in accordance with all department productivity and accuracy standards. Utilize multiple internal and external computer programs and applications to process billing submissions and achieve prompt and optimum payment processing and deposit. Review and analyze billing edits, errors, unpaid claims etc and resolve within scope of authority. Analyze and determine appropriate action to be taken on inquiries from patients and payers and resolve within scope of authority. Analyze and monitor trends and problems pertaining to patient billing, provide documentation, and report/recommend action to Service Coordinator or Supervisor.
Monitor and evaluate patient accounts and refer delinquent accounts for collection, and may participate in collection activities. May verify insurance coverage and conduct credit checks. May make arrangements for, and confirm, payments including financial assistance and self-pay payments. May interview patients or representatives to determine patient liability allowances, and type of financial assistance for which patient is eligible. Remain knowledgeable of federal, state and payer billing regulations and conduct all activities within established regulatory requirements.
Applicants with diverse backgrounds are encouraged to apply.
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For additional questions or if you wish to email a resume due to application timeout issues, please contact: Jessica Hardy at firstname.lastname@example.org and include the vacancy number as a reference.