Biller Service Representative Job at Saint Peter's Healthcare System
Biller Service Representative
Business Office
The Biller Service Representative will:
Ensure account accuracy.- Review daily claims to ensure submissions are clean and timely.
- Monitor charges/modifiers/CPT-4s/HCPCS/payments/DRGs/ICD-10 coding.
- Review outstanding accounts using ATB/queues/payments reports/halt report/electronic billing edits/credit balances.
- Submit timely and accurate adjustments/notes/patient balance transfers and medical record requests.
- Work with management team and notifying of notifying of issues that arise with payors/departments/etc
- Resolve account issues and problem solving independently whenever possible.
- Use technology provided (including hospital information system, contract management system, electronic billing system, payer websites and document imaging system.)
- Manage denials and appealing administrative claims.
- Understand denials and how they should be handled.
- Send clinical denials and downgraded claims to appropriate parties to ensure timely appeal.
- Ensure claims denied at time of billing are distributed to appropriate parties for review.
- Update and correct accounts with assistance of originating departments (charges/authorizations/insurance issues).
- Follow departmental and hospital policy and procedure (this includes HIPAA guidelines and Federal guidelines).
- Understand payor contracts and billing guidelines; revenue codes and payor specific requirements; and payor/plan codes.
Requirements:
Requires one (1)or more years experience as a Medical Insurance Biller or related responsibilities and Hospital Billing strongly preferred.
- Proficient in Microsoft Word and Microsoft Excel.
- Requires high level of interpersonal skills necessary to lead others and to work effectively with Patient Accounts Personnel as well as outside agencies.
- Must possess a comprehensive knowledge of Collection, A/R follow-up and Billing. Knowledge of third-party payers, State and Federal Agencies (constantly changing) with regards to Patient Accounting.
- Requires the ability to consistently meet deadlines, to concentrate and pay attention to details 75% of work time.
Grade 114
Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.