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Medical Billing-Hospital Claims
4 months ago
Experience in Hospital/Facility billing required.
The representative is responsible for collections, account follow up, billing allowance posting for the accounts assigned to them Duties and Responsibilities Ability to use various workflow system and client host system such as STAR, SMS, EAGLE and EPIC, as well as other tools available to them to collect payments and resolve accountsWorking knowledge of the insurance follow-up process with understanding of the fundamental concepts in healthcare reimbursement methodologies Understanding of government, Medicare and Medicaid claimsFollow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites Review and updates all patient and financial information accurately as given.Verifies that information is accurate as to individual or insurance company responsible for payment of bill.Monitors all billings for accuracy, updating any that contain known errors.Monitors Medicaid/healthy options coupons to assure services are billed within expected timeframesBills all hospital services to primary insurer or patient correctly and within expected timeframeFollows up with insurance companies on all assigned accounts within expected timeframeExplains hospital regulations with regard to methods for payment of accounts and maintains complete working knowledge of insurance regulations and hospital insurance contracts
Experience in Hospital/Facility billing required2-3 years’ experience in insurance collections, including submitting and following up on claimsAbility to work well individually and in a team environment.
