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Big Sandy Health Care - Prestonsburg, KY

posted 5 days ago

Full-time - Entry Level
Prestonsburg, KY
Ambulatory Health Care Services

About the position

The position involves performing billing and collection duties within a healthcare setting. Eligibility for this role is recommended by the Director of Reimbursement and requires approval from the Chief Financial Officer. The eligibility is determined based on measurable job capabilities and qualifications outlined in the job description.

Responsibilities

  • Processes collection and reimbursement data, including monthly self-pay statements, weekly insurance bills, and scheduled electronic billings.
  • Processes overpayment reimbursements.
  • Performs rebilling and back-billing, and processes rejected first billings, to primary and secondary parties.
  • Processes changes in patient status and reports to clinics any delinquent patient status.
  • Prepares appropriate reports for monitoring of accounts receivable and collections.
  • Responds with professionalism and courtesy to written and telephone inquiries or complaints pertaining to patient accounts according to BSHC protocol.
  • Prepares monthly and annual reports and various statistical reports as assigned.
  • Processes daily clinic deposits and A/R deposits.
  • Assists with accounting procedures as needed.
  • Files and copies as needed.
  • Adheres to the terms and conditions set forth in BSHC's corporate compliance program.
  • Ensures confidential information in accordance with BSHC's policy and current HIPAA regulations.
  • Performs other duties as assigned.

Requirements

  • High school diploma or equivalent
  • Associates degree preferred
  • Minimum of two years' experience in medical billing (Degree in related field may substitute for 1 year of medical billing experience)
  • Minimum of three years familiarity with computers and data entry, and office machines, such as calculators and photocopy equipment
  • Ability to bill all payer sources, including Medicare, Medicaid, insurance, and self-pay
  • Knowledge of Federal and State laws and regulations pertaining to reimbursement
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