Meditech Claims Processor - UB-04 and HCFA 1500

CPSI

1d•Remote

About The Position

The Meditech Claims Processor acts as a liaison for hospitals and clinics utilizing TruBridge’s comprehensive business office services. This role involves close collaboration with TruBridge management and hospital employees to bill insurance companies for all hospital, hospital-based physician, and clinic bills. The processor is responsible for pursuing the collection of all claims until payment is received from insurance companies and performing other related billing processes. Working for TruBridge means connecting providers, patients, and communities with innovative solutions that generate value by supporting both the financial and clinical aspects of healthcare delivery. This position is part of a remote team that encourages innovation and contributes to enabling providers to deliver optimal care.

Requirements

3 years of recent Critical Access or Acute Care facility and professional claim billing.
Meditech E.H.R Experience Required.
Computer skills.
Experience in CPT and ICD-10 coding.
Familiarity with medical terminology.
Ability to communicate with various insurance payers.
Experience in filing claim appeals with insurance companies to ensure maximum reimbursement.
Responsible use of confidential information.
Strong written and verbal skills.
Ability to multi-task.

Responsibilities

Prepares and submits hospital, hospital-based physician and clinic claims to third-party insurance carriers either electronically or by hard copy billing.
Secures needed medical documentation required or requested by third party insurances.
Follows up with third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains.
Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers.
Responsible for consistently meeting production and quality assurance standards.
Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer.
Updates job knowledge by participating in company offered education opportunities.
Protects customer information by keeping all information confidential.
Processes miscellaneous paperwork.
Ability to work with high profile customers with difficult processes.
May regularly be asked to help with team projects.
Ensure all claims are submitted daily with a goal of zero errors.
Timely follow up on insurance claim status.
Reading and interpreting an EOB (Explanation of Benefits).
Respond to inquiries by insurance companies.
Denial Management.
Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles.
Review late charge reports and file corrected claims or write off charges as per client policy.
Review reports identifying readmissions or overlapping service dates and ignore, merge, or split-bill according to the payer’s rules and the client’s policy.
Review credit reports, resolve credits belonging to a payer when able, and submit a listing of credits to the facility as required by the payer.