Implant/Trailer Billing Representative - FT - Day - Lawrenceville
About The Position
Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates. The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time). Position Overview Implant/Trailer Billing Rep JOB CODE:50360 SUMMARY (BASIC PURPOSE OF THE JOB) Prepares and submits claims and responds to routine inquiries regarding claims. Contacts payors regarding status of outstanding claims. Documents all correspondence, payments and adjustments into the patient account record via patient accounts system.
Requirements
- Education: High school diploma or equivalency.
- Experience: One year billing experience in a healthcare environment.
- Knowledge and Skills: Ability to navigate through multiple systems.
- Excellent communication and interpersonal skills.
- Requires typing skills and data entry skills with emphasis on accuracy.
- Working knowledge of Microsoft office.
Nice To Haves
- Knowledge and ability to interpret payor contracts preferred.
Responsibilities
- Reviews appropriate documents.
- Interprets information and follows appropriate federal, state, third party and departmental guidelines to prepare bills to carriers.
- Complies with implant and trailer billing procedures, as required by the hospital's managed care contracts.
- Identifies and bills all implant or trailer services as outlined by work lists, management and hospital managed care contracts through access to multiple systems.
- Gathers and communicates information from third party payors to expedite payment on outstanding accounts.
- Stays current with the latest updates for third party, collection, and bad-debt regulations by reading bulletins and other memoranda.
- Participates in annual training sessions as required.
- Sets goals to resolve any outstanding issues with third party representatives.
- Evaluates, reviews, and analyzes patient accounts to determine if correct third party payments have been received and recorded.
- Ensures compliance with contract terms.
- Follow up with the payors regarding non-payment or any discrepancy in payments received.
- Prioritizes and updates files and other required documentation in accordance with established policies, guidelines, and procedures.
- Reviews and stays current with assigned work lists daily.
- Operates computer software efficiently to complete required billing and follow-up tasks.
- Performs other duties as assigned and adapts to changing departmental demands.
Benefits
- Medical Plan
- Prescription drug coverage & In-House Employee Pharmacy
- Dental Plan
- Vision Plan
- Flexible Spending Account (FSA) - Healthcare FSA - Dependent Care FSA
- Retirement Savings and Investment Plan
- Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
- Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
- Disability Benefits – Long Term Disability (LTD)
- Disability Benefits – Short Term Disability (STD)
- Employee Assistance Program
- Commuter Transit
- Commuter Parking
- Supplemental Life Insurance - Voluntary Life Spouse - Voluntary Life Employee - Voluntary Life Child
- Voluntary Legal Services
- Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
- Voluntary Identity Theft Insurance
- Voluntary Pet Insurance
- Paid Time-Off Program
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
1,001-5,000 employees
