Insurance Biller

4 weeks ago


Alamogordo NM United States Christus Health Full time
Description
  • Demonstrates knowledge and skills necessary to provide services based on the physical, psychosocial, educational, safety, and other related criteria appropriate population in his/her assigned area
  • Maintains required core competencies.
  • Complies with set Policies and Procedures (i. e. name tag, dress code, parking, smoking, etc.)
  • Submits all clean claims to the appropriate insurance payer the same day as the claim is received with the exception of weekends.
  • Reviews payer EOB’s but not limited to payment accuracy, patient liability, and appeal grievances if applicable.
  • Files appeals on denied claims and/or forwards to the Lead Patient Account Analyst for review if applicable
  • Maintain better than an 80% clean claim average.
  • Attach but not limited to the medical records, time records, and itemized bill to the claim when applicable
  • Process incoming mail correspondence from the payers within 5 business days
  • Work assigned billing reports within 2 business days
  • Follow up with the insurance companies by phone and or web for the status of outstanding claims if applicable
  • Respond to patient inquiries regarding the status of the patient’s insurance within 2 business days
  • Submit newborn notifications to income support if applicable 
  • Review/resolve the accounts on the Missing Slips Report daily (accounts that are on hold and haven’t been processed).
  • Enter detailed notes explaining account activity in Athena
  • Take payments over the phone.
  • Print UB and 1500 hardcopy claims when required by the payer
  • Bill secondary claims before the timely filing deadline
  • Research late charges to determine the cause; inform your supervisor if they are a regular occurrence.
  • Handle incoming correspondence and inquiries on accounts.
  • Report trends/issues to Supervisor
  • Follow up with all insurance companies within 30 days of billing if there is no payment on the account if applicable
  • Forward patient complaints regarding care to your supervisor for entry into the appropriate resolution pathway
  • Performs other duties as assigned


Requirements

Education

Required:

    High School

Licenses & Certifications

Required:

    C-Heartsaver


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