Job description
Job Description:
The person handling this position is responsible for correcting, completing, and submitting claims, electronically and by paper, to all payer sources for reimbursement of services provided. The employee will monitor hospital system(s), insurance payer information, department reports and takes corrective action, to assigned accounts, if necessary, to ensure proper billing and payment of receivables.
SHIFT AND SCHEDULE
ESSENTIAL FUNCTIONS/PERFORMANCE EXPECTATIONS
The person handling this position is responsible for correcting, completing, and submitting claims, electronically and by paper, to all payer sources for reimbursement of services provided. The employee will monitor hospital system(s), insurance payer information, department reports and takes corrective action, to assigned accounts, if necessary, to ensure proper billing and payment of receivables.
SHIFT AND SCHEDULE
FT / Mon- Fri / 7:30 am – 5:00 pm
On Call Required to maintain Phlebotomy skills
ESSENTIAL FUNCTIONS/PERFORMANCE EXPECTATIONS
- Demonstrates the ability to compliantly resolve payer specific edits with required information existing within the patient record.
- Demonstrates the ability to produce, transmit and submit compliant claims to all payers for reimbursement.
- Accurately completes all reports in Patient Accounting System on a daily basis.
- Demonstrates the ability to correct all RTPs and other payer rejections from all payers on a daily basis.
- Monitors payer rules and regulations and implements timely changes when necessary. · Demonstrates the ability to review and analyze ERAs/EOBs for additional information needed, claims corrections or resubmission when necessary.
EDUCATION AND EXPERIENCE:
- High School diploma or equivalency required.
- Courses in insurance billing and medical terminology preferred.
- One-year experience billing hospital or professional services claims required.
- Must be able to type 35 wpm and operate a personal computer.
PHYSICAL REQUIREMENTS:
To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The individual must be able to: Stand, walk, sit, stoop, reach, lift, see, speak and hear. Lifting is limited to 35 lbs. for clinical staff and to 50 lbs. for non-clinical staff. The individual must use an assisted-lift device or get another individual(s) to assist with the lift that is over these maximum limits.
johnandkristie.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, johnandkristie.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, johnandkristie.com is the ideal place to find your next job.