Responsible for weekly billing, researching payment discrepancies, and claims denial management
Ensures billing practices are ethical and compliant with company policies, and government regulations and guidelines
Follows HIPAA guidelines in handling patient information
Prepares appeal letters to insurance carriers, when necessary to obtain reimbursement
Compiles medical records and documentation, to provide support to Utilization Review appeals process and Compliance department review
Reviews daily technical and professional billing charges for multiple facilities
Prepares monthly patient responsibility invoices and performs collections follow-up
Assures accurate billing based on services provided
Provides excellent customer service. Must possess a high level of interpersonal skills including the ability to respond calmly and make rational decisions in stressful situations
Responsible for billing systems in maintenance, rate verification, and rate updates, including the application of contractual adjustments and allowances.
Confirms admissions, transfers, and discharges with Admissions Department and reconciles weekly census to ensure the accuracy of billing
Performs other duties as assigned
Requirements
High School Diploma
Strong work ethic
Great organizational skills
Strong attention to detail
Up to date familiarity and knowledge with local insurance carriers
General knowledge of basic EMR and billing software
Familiar and competent with Microsoft word and excel packages
Basic knowledge of paper billing
3-5 years experience working in billing for an OON Health Care Provider, preferably Drug and Alcohol
Minimum 1 year experience working in an administrative position at a Health Care Provider, preferable in a finance position
Benefits
Collaborative environment dedicated to clinical excellence
Multiple Career Development Pathways
Company Supported Continuing Education & Certification
Multiple Health Plan Design Options Available
Flexible Dental & Vision Plan Options
100% Company Paid EAP Emotional Well-Being Support
100% Company Paid Critical Illness (with health enrollment plan)
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