Billing Associate

Avera•Sioux Falls, SD

5d•Onsite

About The Position

Verifies, submits and adjudicates patient billing information, submits necessary claim forms and reconciles accounts receivable remittances appropriately and documents tracking information to customer's accounts. Additional responsibilities include verifying and correcting billing input for claim processing and reconciles Point of Sale cash flow. A successful Associate provides excellent customer service to external and internal customers.

Requirements

Must be able to work the hours specified.
Visual acuity adequate to perform position duties.
Ability to communicate effectively with others.
Ability to hear, understand and distinguish speech and other sounds.

Nice To Haves

Associate's Technical degree or 1 to 2 years or related experience
1-3 years Related experience
Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
Promote Avera’s values of compassion, hospitality, and stewardship.
Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
Maintain confidentiality.
Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Responsibilities

Respond to external and internal customers concerns regarding accounts in a timely and accurate manner.
Investigate reports and correct information necessary for complete accuracy.
Provide corrections and documentation of changes to patients and other appropriate departments.
Investigate and report on all current reimbursement developments on third party remittances and maintain compliance with coding/billing requirements.
Direct the preparation, completion and filing of third party payor insurance reimbursement claims, both electronic and paper formats.
Process explanation of Medicare Benefits for supplemental insurances.
Verify bill accuracy and responsible for review to initiate appeal information when appropriate.
Collaborate with other departments for follow-up and timely resolution.
Comprehend and interpret organization policies, procedures and maintain appropriate records for compliance and audit purposes.
Correspond with other appropriate departments for necessary billing information.
Reconcile cash management and coordinate daily deposits for all applicable areas.