Medical Billing Representative

SOUTHWESTERN AND AFFILIATES • Evansville, IN

5d • Onsite

About The Position

Southwestern Healthcare is currently seeking a Full-Time Medical Billing Representative to add to our team. This position works on-site at our Evansville downtown office during regular business hours of Monday – Friday, 8AM – 5PM. WHY WORK FOR SOUTHWESTERN? Affordable Health, Dental, Vision, and Voluntary Life Insurance that starts day ONE of employment! 401K Employer Contribution & Match Student Loan Assistance Program Physical & Financial Wellness Programs Generous Paid Time Off Plan Competitive Total Compensation Program On-site training available for qualified candidates We are GROWING!! WHAT IS THIS POSITION RESPONSIBLE FOR? Review aging reports across multiple payers. Billing and account activities that will maximize reimbursement and promote prompt payment. Resolves routine patient billing inquiries and problems. Follows up on balances past due from insurance companies and patients. Reads and interprets transactional data within patient accounts. Comprehends Electronic Data Interchange (EDI) functionality and the general progression of data in the practice management system (PMS) and EDI systems. Understands and resolves payer edits and/or rejections. Demonstrates knowledge of medical terminology, CPT, ICD-10, CCI edits, and HIPAA regulations. Performs extensive account follow up activities utilizing the PMS. Investigates, analyzes and resolves problematic and delinquent accounts. Utilizes ancillary applications and websites as a tool to retrieve medical documentation, claim status, eligibility, billing guidelines, or authorization/referrals to substantiate correct claim submissions, written appeals, or coding reviews. Performs electronic eligibility confirmation when applicable and documents results.

Requirements

• Applicants must have a High School Diploma or GED.
• Candidates must pass required background checks including county/state checks, CPS check, sex offender registry check, and drug screen.

Nice To Haves

• Two years of experience in a medical billing or patient account setting preferred but not required.
• Excellent communication, time management, and organizational skills a plus.

Responsibilities

• Review aging reports across multiple payers.
• Billing and account activities that will maximize reimbursement and promote prompt payment.
• Resolves routine patient billing inquiries and problems.
• Follows up on balances past due from insurance companies and patients.
• Reads and interprets transactional data within patient accounts.
• Comprehends Electronic Data Interchange (EDI) functionality and the general progression of data in the practice management system (PMS) and EDI systems.
• Understands and resolves payer edits and/or rejections.
• Demonstrates knowledge of medical terminology, CPT, ICD-10, CCI edits, and HIPAA regulations.
• Performs extensive account follow up activities utilizing the PMS.
• Investigates, analyzes and resolves problematic and delinquent accounts.
• Utilizes ancillary applications and websites as a tool to retrieve medical documentation, claim status, eligibility, billing guidelines, or authorization/referrals to substantiate correct claim submissions, written appeals, or coding reviews.
• Performs electronic eligibility confirmation when applicable and documents results.

Benefits

• Affordable Health, Dental, Vision, and Voluntary Life Insurance that starts day ONE of employment!
• 401K Employer Contribution & Match
• Student Loan Assistance Program
• Physical & Financial Wellness Programs
• Generous Paid Time Off Plan
• Competitive Total Compensation Program
• On-site training available for qualified candidates

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 251-500 employees