POSITION PURPOSE Performs daily mail duties, daily deposits, payment posting, paper claim processing

FroedtertSouth • Kenosha, WI

4d • Onsite

About The Position

Performs billing and clerical functions necessary to bill and collect for physician services processed by the Physician’s Billing Department. This role involves daily mail duties, daily deposits, payment posting, and paper claim processing. The specialist will access, input, and retrieve information from the Electronic Health System software, communicate with co-workers, physician office staff, and insurance companies, and utilize telephone skills for professional contact with patients and insurance companies. Responsibilities also include retrieving information from clinic sites, accurately entering billing software data, accessing hospital computer network systems, and using insurance websites to verify claim and eligibility status. Additionally, the role requires accurately appealing problem claims and researching/resolving overpayments.

Requirements

• High School or Equivalent (GED)
• 3 months - 1 year of experience
• Previous experience at a physician office or hospital-billing department.
• Demonstrates knowledge of procedure and diagnosis coding.
• Ability to read, write, speak, hear and comprehend the English language.

Responsibilities

• Performs daily mail duties.
• Performs daily deposits.
• Performs payment posting.
• Processes paper claims.
• Accesses, inputs, and retrieves information from the Electronic Health System software.
• Communicates and develops a working/problem-solving relationship with co-workers, physician office staff, and insurance companies.
• Utilizes telephone skills for courteous and professional contact with patients, insurance companies, and physician offices.
• Retrieves needed information from clinic sites to resolve problem accounts.
• Accurately enters pertinent information into the billing software.
• Accesses and retrieves information from the Hospital’s computer network systems.
• Accesses and retrieves information from various insurance websites to verify claim and eligibility status along with carrier submission guidelines.
• Accurately appeals problem claims with appropriate insurance companies.
• Researches and resolves overpayments.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees