KNOWLEDGE/SKILL/ABILITY REQUIREMENTS:

• Minimum of High School Diploma. Some college preferred.
• Knowledge of Medicare Part A, Medicaid, and Insurance Procedures.
• Knowledge of medical billing /collection procedures.
• Prefer 1-2 years in medical business office including Insurance Claim follow up.
• Demonstrated working knowledge of a computerized medical information management system.
• Skills in Microsoft Office Suite (Word, Excel, Outlook).
• Good verbal and written communication skills required.
• Ability to work independently with only general supervision.
• Great attention to detail required along with a high level of dependability.
• Excellent telephone techniques and rapport.
• Ability to effectively communicate and interact with colleagues, hospital staff, patients, physicians and their staff, and third-party insurance personnel.
  Compensation details: 25-27 Hourly Wage
  PI5be283d9c387-25404-3847187

RESPONSIBILITIES:

1 Insurance Claim Billing

• Reviews patient accounts and verifies data for correct billable services and fees. Ensures all pertinent billing information is documented to produce a clean UB-04 claim.
• Runs daily insurance billing reports and reviews discrepancies. Corrects accounts, as necessary.
• Generated Medicare, Medicaid, and Commercial Insurance claims via electronic and hard copy processes.
• Prior to submission, reviews each claim for accuracy and missing information. Transmits claims electronically to TruBridge.

2 Insurance Claim Follow up

• Follow up on any unpaid claim.
• Follow-up on insurance denials and takes appropriate steps to resolve discrepancies.
• Communicates discrepancies and the need for additional information to the appropriate parties. Obtain supporting documentation to appeal claim payment.
• All collection and follow-up efforts will be annotated in the CPSI computer System.
• Re-bill accounts as needed.

5 OTHER DUTIES AS ASSIGNED

• Keep updated on all third-party billing requirements. Serves as a resource person for staff inquiries regarding billing issues.
• Assists with training of staff as necessary.
• Other duties as assigned.