INSURANCE BILLING FOLLOW UP (PRN, AS NEEDED)

Wayne Memorial Hospital - Jesup, GA • Jesup, GA

31d

About The Position

Handles all activity relative to billing of all insurance claims. Making sure corrections are done in Paragon & Claims Billing Software System are completed to ensure that production of clean claims for rebilling. Works CRC report daily and forwards to appropriate person responsible for following up and completing. Assignment requires planning and arranging all billers' work to accomplish/complete daily/weekly job duties. Applies own knowledge to solve routine operational problems. Must be able to handle a variety of tasks while meeting established deadlines.

Requirements

• A high school diploma or the equivalent is required.
• Prior experience in a medical office or business office setting with an emphasis on adult public contact and attention to detail is required.

Nice To Haves

• Post high school business training is desirable.

Responsibilities

• Downloads all accounts from Paragon system each morning.
• Audits all accounts for missing charges and missing requirements. when this is completed, transmits correct completed claims.
• Furnishes needed claim information to assure payment. Assists with correspondence.
• Establishes a patient file for claims in need of diagnosis information and/or coding. Enters needed information on the claims.
• Ensures rejected claims have proper codes and enters such requirements and/or changes the Paragon system and rebills the claim.
• Maintains knowledge of all Commercial payer requirements. Maintains file of alerts and bulletins and distributes to appropriate staff that may pertain to.
• Assists with special projects assigned by the PFS Director
• Typing is required

What This Job Offers

• Job Type: Part-time
• Education Level: High school or GED