Patient Billing Representative - Marshall Health Teays Valley Lab Job at Marshall Health

Marshall Health Teays Valley, WV

Job Responsibilities:
  • Reviews and processes refund requests.
  • Utilizes the necessary electronic and manual systems to identify and capture source documentation needed for the coding and generation of provider charges/claims.
  • Performs the data entry role for all necessary billing and claims related functions including, but not limited to charge entry and payment posting.
  • Answers phone calls and/or inquiries from patients, insurance carriers or other parties to assist in the submission, payment or clarification of claims or billing related issues.
  • Carries out routine requests for information from any number of sources such as the practice management system, archived or scanned billing documents, or supporting documentation for prior charges.
  • Provides various reports, both monthly and ad-hoc, as defined and requested utilized either the practice management system or an available external reporting solution.
  • Performs the precertification process for scheduled procedures as necessary, including communication of any balances due to the patient.
  • Works with Corporate and Department management to develop, maintain, and follow policies and procedures relating to and in support of the Department’s and Corporation’s Compliance Program for Professional Fee Reimbursement.
  • Provides coverage for Patient Service Representative duties when needed.
  • Assists with patient ordering in draw room as needed.
  • Performs other duties as assigned or requested.
Education: High school diploma or GED.
Experience: Minimum of one year billing experience in a health care organization, with a preference toward candidates with experience and knowledge of the claim denial/accounts receivable process. Working knowledge of Cerner Practice Management software is a plus.

Internal applicants must call HR at ext. 11653 to determine eligibility before applying.


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