Billing Specialist - 7AM - 3:30PM or 8:00AM - 4:30PM

Bothwell Regional Health Center•Sedalia, MO

1d•Onsite

About The Position

The Hospital Billing Specialist is responsible to bill all third party payers electronically and is responsible to follow through on an account to a zero balance by following all rules and regulations both local and national in a timely manner.

Requirements

High School graduate with related subjects in general business.
Computer knowledge
Medical Terminology.
Ability to operate various office machines.
Strong knowledge of the Medicare/Medicaid regulations as they pertain to billing claims.
Be able to work independently and make reasonable decisions while maintaining confidentiality.

Nice To Haves

Some experience in billing is desirable.
Good customer service skills.
Minimum 1 yr. hospital billing experience preferred.
Three years’ experience in collections, customer service and insurance claim processing preferred.

Responsibilities

Working daily reports as assigned.
Billing all primary & secondary claims electronically.
Maintain minimal unbilled AR at end of every month under $200,000.00 in charges.
Work remittance advices for denials and possible re-submission.
Follow up with insurance payers on claim resolution. Accounts should be resolved in a timely manner.
Communicate and work with all clinical departments to insure proper charging and billing of accounts.
Respond to patient phone inquiry as needed. Reconcile the account and understand what the balance consists of (i.e. deductible, co-insurance, co-pay, etc).
Review account for all possible sources of payment including third party liability.
Process credit balances as assigned by your work group.
Work all correspondence and respond promptly and provide requested information to ensure timely resolution.
Inform Supervisor of any problems or changes in payer requirements and exercise independent judgment to analyze and report repetitive denials so corrective action can be taken.
Provide the best customer service possible.
Document in Meditech system any action taken on patient’s account.
All other assigned duties which may include – sending and following up on appeals, working follow up on insurance companies, ordering claims, & balancing accounts.