As a Medicare Representative , you will perform a variety of moderately complex tasks related to the management of Medicare Receivables. You will be required to work directly with Medicare, Medicare intermediaries, follow up on outstanding Medicare claims and resubmit corrected bills when necessary, review explanation of benefits and review documents to assure that correct payment are received and that all adjustments are correctly posted.
Thorough knowledge of Medicare rules, regulations, terminology
Working knowledge of the Medicare FISS system and the CMS website
Intermediate knowledge of CMS/Medicare regulations
Solid knowledge of PPS, OPPS, APC, DRG
Ability to identify and report inventory trends, issues and identify areas of financial opportunity within your assigned inventory
Ability to analyze and resolve problems, and identify payer reimbursement discrepancies.
Claim processing and payment procedures knowledge, including regulatory guidelines, such as DRG and OPPS reimbursement methodology
Excellent verbal and written communications skills with an emphasis on customer service.
Proficient computer and keyboard skills and ability to update multiple systems while interacting with third parties.
Knowledge of healthcare claims processing including ICD-9, ICD-10, CPT, and HCPC codes, as well as UB-04 and 1500 claims forms.
High school diploma or equivalent.
5+ years experience
Our total compensation package includes:
Competitive base salary
Monthly performance incentives
Comprehensive medical, dental, life and disability benefits
Tuition assistance program
Retirement savings plan
Generous paid vacation time allowance
Our success story is due to the quality of our people and our commitment to exceptional customer service. HBCS is a leader in health care receivables management providing electronic billing, insurance follow-up and self-pay recovery services to hospitals and healthcare providers throughout the U.S. With employees in operating locations in Delaware and Massachusetts, our skilled and dedicated team delivers quality, value-added services utilizing advanced technology and specialized expertise.
To take the first step in a career with HBCS please apply directly on our company website at www.hbcs.org
HBCS - 2 years ago