third party biller

South Shore Health • Weymouth, MA

2d • $20 - $27 • Hybrid

About The Position

Accumulate data from Patient Access and Health Information Management for the purpose of submitting compliant third party insurance and physician claims. Initiate all collection calls for payment on aged accounts receivable up to the point of self-pay collections. Generates reports for responsible insurance plans and maintains online collection worklists and online claims editing software for maximum efficiency. Ability to decipher reimbursement schemes for assigned insurance’s to complete the revenue cycle

Responsibilities

• Maintains up to date knowledge of all Federal, State and Insurance specific billing regulations, policies, procedures and code sets. Retains knowledge of Hospitals Credit Collection Policy.
• Evaluates daily claim file using online claim editing software for submission of UB92 and 1500 claim forms.
• Initiate collection of aged accounts receivable through an automated collector work lists.
• Generate reports as needed for collection of aged accounts receivable.
• Evaluate insurance reimbursement schemes as needed to verify that payments and adjustments have been accurately recorded.
• Communicate with patients as needed for additional insurance or other information needed in order to process a claim.
• Technology – Embraces technological solutions to work processes and practices.
• Safety Awareness – Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed