Shift: Mon thru Fri (8:00am – 4:30pm)

Job Summary: Responsible for processing patient accounts. Duties include processing and billing all types of insurance and self-pay claims for services. Accepts reasonable payment arrangements or refers accounts to outside collection agencies. Follows up on denied claims. Enter charges & post cash receipts & adjustments. Assists with other various duties in the patient accounting area. May work in multiple functional areas.
 

Job Responsibilities and Requirements:
PRIMARY RESPONSIBILITIES
Processes the insurance component of a patient's obligation using third-party claims processing and payment rules. Bills claims appropriately.
Follows up on denied claims by performing appeals and denial recovery procedures. Works on denied claim lines and no response claims to resolve outstanding accounts.
Work with Admissions and other departments with self-pay and insurance point-of-service collections.
Reviews and answers account questions in detail, with a focus on resolution and customer service.
Analyzes credit balances on patient accounts and resolves.
Responds to refund request letters from insurance carriers.
Identifies process improvement opportunities and participates in improvement plans.
Works on special projects as needed.
Performs other duties as assigned.

Qualifications

Education: High School Graduate

Experience: 2-3 years prior billing experience in hospital or physician office preferred.

Prior experience with on-line admission/billing systems and knowledge of credit, collection, and confidentiality laws are desirable.

Familiarity with UB-04 or CMS 155 billing requirements, 3rd party payment procedures, managed care, and government programs preferred.

We Offer Great Benefits:

Comprehensive health, vision, and dental coverage, Hospital & Clinic medical discounts, PTO, tuition reimbursement, and employer-matched retirement funds are a few of the great benefits offered to eligible co-workers!