Billing Representative - Hospital

1776 S. Queen St•York, PA

10d

About The Position

At OSS Health, our mission is to continually strive to be the healthcare leader in quality, innovation and value. We make every effort to understand and exceed the expectations and needs of our patients. We are committed to providing an environment that is safe, respectful, and dignified at all times. Joining OSS Health means joining a culture of excellence and teamwork, with a strong focus on employee development and community support. OSS Health offers a great work environment, professional development opportunities, meaningful careers, and competitive compensation. Are you ready to provide a 5-star “OSSOME” experience? Apply today! JOB SUMMARY:â¯ Reporting to the Billing and Payment Posting Supervisor, the Billing Representative is a key member of the Revenue Cycle team responsible for billing all insurance claims in a timely and accurate manner.

Requirements

High school diploma or GED required OR 5 years of work experience required.
At least 5 years of experience in medical billing for a Hospital/Surgical Billing.
CMS Billing Guidelines, FISS experience, and an understanding of Overlapping Claims.
Must have a high attention to detail and possess excellent organizational, time management, and communication skills.
Must have a working understanding of hospital and/or physician claim requirements for Medicare, Medicaid, and Private health insurance
Must be able to prioritize duties and communicate directly with insurance companies, patients, physicians, co-workers and
Must be a team player and willing to work with all staff to get the overall job accomplished.
Must maintain a cooperative working relationship with all and handle difficult situations tactfully.
Must have the ability to review and understand written material pertaining to orthopaedics and health care, including terminology and reimbursement issues.

Nice To Haves

An associate degree from a Medical Billing program is preferred.
Coding certified preferred
Experience with Medent or CPSI software preferred.

Responsibilities

Transmits insurance claims electronically.
Confirms that all claims submitted electronically are received and acknowledged by respective payers.
Prints and mails insurance claims, ensuring that required documentation and attachments are included.
Corrects billing edits and errors prior to claim submission.
Researches and corrects initial billing rejections received from payers.
Escalates difficult or recurring issues to immediate supervisor.
Demonstrates good judgment in safeguarding OSS information to include confidentiality of all medical and patient information.
Follows all policies and procedures of OSS.
Other duties as assigned.