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Patient Account Analyst/Insurance Billing
JOB_REQUIREMENTS
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Salary
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JOB SUMMARY:
Responsible for the timely and accurate submission of Insurance claims. Coordinate billing procedures and working payer edits in conjunction with updated Payer requirements and guidelines.
Schedule:
- 1.0FTE (40 hours)
- Mon-Fri
- 8:00am-4:30pm
Compensation:
- $21.20/hr +DOE
- Robust Benefits Package
ESSENTIAL FUNCTIONS, DUTIES, AND RESPONSIBILITIES:
- Review and check final bills for accuracy according to specific Payer billing requirements.
- Understand payer edits and update claims appropriately.
- Understand UB and 1500 billing to apply condition codes, value codes, occurrence codes and patient status codes as required to assure compliant billing to payers.
- Receive, communicate and assist Supervisor with the implementation of system updates as directed by Payer bulletins and notifications.
- Process claims daily in the system work queues and Payer clearinghouse for electronic claims processing.
- Research, prepares, and provides all required reports.
- Prepares and submits timely adjustments for Managers approval.
- Prepares timely refunds for Managers approval
- Knowledge of the medical coding processes including CPT, ICD10 and revenue codes are helpful.
- Responsible for entering in operating system ,detailed notes indicating the current claim status and documentation of all transactions on assigned accounts.
- Responsible for being courteous and polite to patients, their agents, coworkers, and other hospital staff at all times, whether on the telephone or in person.
- Provide quality customer service, both internally and externally.
- To be cross trained in other areas of the hospital as necessary.
- Perform other duties as assigned by Manager.
QUALIFICATIONS (Required):
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily
- High School Diploma or GED
- Preferred, a minimum of two years’ medical billing experience.
- Minimum of two years’ computer experience which includes Microsoft Word, Excel.
- Demonstrated ability to be accurate and attentive to detail
- Analytical and problem-solving skills
- Excellent communication skills, both written and verbal
ADDITIONAL DESIRABLE QUALIFICATIONS:
- Mature personality, sense of responsibility, and integrity.
- Excellent organizational skills and time management skills.
- Analytical and decision-making skills.
- Ability to multitask and maintain a flexible daily work schedule.
- Seek opportunities to provide quality customer service.
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