BILLING SPECIALIST I
The Hospital Authority of Miller County•Colquitt, GA
•Onsite
About The Position
This position is responsible for the billing and collection functions (a/k/a claims filing) of the institutional and professional services rendered by the Hospital Authority of Miller County (HAMC) to its patients. The Biller will work under the direction of Patient Financial Services Leadership to carry out duties pertaining to the claim’s life-cycle.
Requirements
- High school diploma or equivalent required
- Ability to communicate in English, both verbally and in writing.
- Basic Computer Skills
Nice To Haves
- Experience in various areas of healthcare revenue cycle management preferred but not required
- Experience and knowledge in commercial and government payer policies, regulations, and requirements preferred but not required
- Proficient in understanding and reconciling EOB’s preferred but not required
- Experience in Cerner preferred, but not required
- Additional languages preferred.
Responsibilities
- Prepare, review and transmit 837 inpatient and outpatient claims using the billing software for electronic and paper claim submission
- Follow-up on unpaid claims aged over 30+ days, notating status in the billing software
- Coordinate with the Patient Access Representatives to verify and understand the patient’s benefits and eligibility
- Process account payments, adjustments, reconciliations, and refunds within the timeframe set by the insurance company
- Participate in required departmental training which may include training provided by Relias, HomeTown Health, Georgia Hospital Association, Medicaid, Medicare and various other trade organizations
- Demonstrate problem-solving skills in the areas of denials, appeals, and collections
- Demonstrate knowledge of Medicaid, Medicare, HMOs, PPOs, CMOs and other payer’s requirements
- Demonstrate proper understanding of Electronic Health Record and Billing software systems, Microsoft Office Suites and other office equipment
- Demonstrate ability to write appeals for denied claims at Level 1
- Must possess critical thinking and problem-solving skills
- Demonstrate the ability to thrive in a fast-paced work environment while giving excellent attention to detail
- Complete special Revenue Cycle Management projects as required or assigned
- Other responsibilities as assigned
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
