Biller

Chadron Hospital•Chadron, NE

4d•Onsite

About The Position

The Medical Biller position will focus on the processing of hospital claims for timely and accurate reimbursement. Strong attention to detail is needed as well as knowledge of medical coding to help minimize denials. The ability to work independently and as part of a team is important.

Requirements

High school diploma or equivalent required.
Medical Terminology needed for billing purposes.
Continuing Education is required to maintain knowledge of changes in CMS and related areas of billing, reimbursement, and compliance.
Knowledge of ICD-10, CPT Codes, HCPCS Codes
Medicare billing rules include information on CMS manuals, LCDs, NCDs, CCI edits, etc.
Ability to learn and utilize efficiently various hospital computer systems and/or programs.
Strong customer service skills are required.
Ability to operate computer systems, talk in person on the telephone, hear in person and on the telephone, vision for close work, use of photocopier, fax machine, computer.
Ability to interact appropriately and professionally with patients, clinic staff, physicians, hospital staff, and the general public.

Nice To Haves

College degree preferred but not required.
Experience in insurance billing with an emphasis on Rural Health Clinic desired
Knowledge of hospital information system desired
Experience working with healthcare payers desired.
Experience with electronic health records
Knowledge of Cerner and SSI clearinghouse helpful.

Responsibilities

Submitting Medicare claims and following up for payment fulfillment
File secondary and supplement claims, as necessary, following Medicare payments.
Complete billing tasks daily; ensure minimal write-off of reimbursement dollars
Monitor and maintain assigned accounts
Research, correct, and resubmit rejected, denied, and returned claims timely
Prepares appeals/reconsiderations to denied claims.
Answer questions timely and accurately according to assigned work hours
Resolve billing issues and assess accounts receivable delinquencies to assigned accounts
Interpret explanation of benefits for assigned accounts
Mark outbound calls and inbound calls on accounts and update notes on calls and account activity, as needed.
Maintain professionalism and customer service
Provide timely follow-up
Review and submit account adjustments, balance write-offs, and account reconciliations
Respects and maintain confidentiality of customer and hospital information
Continuing Education is required to maintain knowledge of changes in CMS and related areas of billing, reimbursement, and compliance.
Attends meetings and workshops as required