Billing Coordinator - Full Time - Days

Trinity Health • Mason City, IA

20h

About The Position

Position Purpose: The Billing Coordinator coordinates and processes all home medical equipment referrals and walk in’s verifying insurance coverage, complete doctor orders and documentation to e nsure clean processing of claims. They perform their duties in a manner consistent with medical center philosophy and policy in areas relating to accounts receivable , public relations, and third-party relations.

Requirements

• Associate Degree or business college courses that equate preferred.
• Completion of medical terminology course or an equivalent combination of education and experience preferred.
• D emonstrated competence in a medical insurance setting for six months to one year preferred
• Ability to deal tactfully and diplomatically with other employees and with the public regardless of economic status, race, religion, age, sexual orientation, disability or ability to pay.
• Must possess sufficient logic skills to make necessary judgment expediting work flow
• Must be detail orientated and able to prioritize.
• Ability to understand, interpret and explain insurance benefits.
• Knowledge of medical equipment and its uses
• Must have demonstrated competence in the use of personal computer using Windo ws, Excel Spreadsheets and Word.

Nice To Haves

• A bility to type 55 WPM preferred

Responsibilities

• Enters PHI data into the billing software system, including client demographics, reimbursement and billing information
• Edits and corrects the CMS 1500 claim form using proper data elements for each payer, ensuring correct billing units, dates of service, codes and modifiers are used.
• Ensures claims are in compliance with payer regulations.
• Performs all functions with the objective of maximizing reimbursement to Mercy One North Iowa Home Medical Equipment and ensuring the claim is paid/settled in a timely manner
• Utilizes available data and resources to make decisions for completion of claims processing and keeps unbilled claims to a minimum level
• Provides Manager with statistical feedback of accounts.
• Communicates with other departments, physicians and their office staff, and nursing personnel as required to clarify billing discrepancies and obtain medical diagnostic information.
• Demonstrates flexibility and adapts to changes in workload assignments
• Acts as a backup when co-workers are absent and assists in reducing others' backlog
• Maintains a positive working relationship with co-workers, medical staff, and personnel from other departments
• Instructs co-workers in sales order processing procedures and assists in the orientation and training of new employees.
• Assists customers politely, promptly, and accurately. Demonstrates good listening skills . Asks clarifying questions to meet customer's needs
• Puts account notes in appropriate software systems accurately, timely and objectively
• Maintains patient confidentiality.

Benefits

• Education Assistance offered
• Effective Day 1 Benefit Package (Medical, Dental, Vision, and more) for positions 20 hours per week or greater
• Competitive wages; including weekend and night differentials
• Generous paid time off program
• Retirement Savings program with employer match starting on Day 1

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree