Responsible for billing claims, compiling itemized bills, verifying patient
insurance coverage and computing patient insurance benefits to achieve
maximum reimbursement. Works closely with the Patient Access, HIM and
Physicians' office staff. Provides financial counseling to patients
and families in accordance with the facility's policies. Assist patients/families
with financial arrangements including financial assistant for qualified
patients from outside agencies. Participates in performance improvement
and CQI activities. Also responsible to help in resolving denials and
claim issues from all carriers including, but not limited to, Medicaid,
Commercial and Medicare for both facility and professional claims in a
timely manner. This position will be responsible for identifying and reporting
payment as well as billing issues and trends, including denials to immediate
management. This position will be responsible ensuring that timelines
are being met.
Hospital medical billing experience required with 2-5 years experience
in hospital/physician billing as well as knowledge of ICD-10, CPT4 and
HCPC. Must have knowledge with various third party payers including Medicare
and Medicaid. Experience with Microsoft Word and Excel.
HS diploma or GED with Associates or Bachelors preferred. Excellent customer
and clerical experience needed. Candidate must be able to mult-task while
being detail oriented and have accurate computer skills with at least
40 wpm. Must be organized, dependable, team oriented but able to work
independently. Additional preferred qualifications: Medical terminology
and fluently bi-lingual.