Hospital Claims Rep
4 weeks ago
Experience in Hospital/Facility billing required
Job Purpose
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 accounts
Working knowledge of the insurance follow-up process with understanding of the fundamental concepts in healthcare reimbursement methodologies
Understanding of government, Medicare and Medicaid claims
Follow-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 timeframes
Bills all hospital services to primary insurer or patient correctly and within expected timeframe
Follows up with insurance companies on all assigned accounts within expected timeframe
Explains hospital regulations with regard to methods for payment of accounts and maintains complete working knowledge of insurance regulations and hospital insurance contracts
Identify and report underpayments and denial trends
Ability to analyze, identify and resolve issues causing payer payment delays Initiate appeals when necessary
Basic knowledge of healthcare claims processing including: ICD-9/10, CPT and HCPC codes, as well as UB-04
Ability to manipulate excel spreadsheets and communicate results
Meets and maintains daily productivity and quality standards established in departmental policies
Act professionally, cooperatively and courteously with patients, insurance payors, co-workers, management and clients
Perform special projects and other duties as needed by the management team.
Maintain confidentiality at all times
Use, protect and disclose patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards. Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Qualifications
Experience in Hospital/Facility billing required
2-3 years experience in insurance collections, including submitting and following up on claims
Ability to work well individually and in a team environment.
Proficiency with Microsoft Office including Excel and Word
Strong organizations, communication and written skills
Basic math and typing skills
High School Diploma
Medical Billing and Coding certification preferred, but not required
This is a remote position.
-
Medical Billing
3 weeks ago
Irving, United States YASMESOFT INC Full timeJob DescriptionJob DescriptionMust have experience working on UB-04 Claims for Hospital/Facility. Should work on A/R Follow Up.Experience in Hospital/Facility billing required.Job PurposeThe representative is responsible for collections, account follow up, billing allowance posting for the accounts assigned to themDuties and ResponsibilitiesAbility to use...
-
Patient Financial Specialist
4 weeks ago
Irving, United States Catapult Staffing Full timeJob Title: Patient Financial Specialist Job Summary: The Patient Financial Specialist is responsible for providing support to High Performance Work Teams by ensuring timely and efficient processes. Duties include cash posting, customer service, data entry, and reviewing claims for proper billing and collections. This role also involves performing billing,...
-
Medical Billing
1 week ago
Irving, United States YASMESOFT INC Full timeJob DescriptionJob DescriptionMust have experience working on UB-04 Claims for Hospital/Facility. Should work on A/R Follow up.Experience in Hospital/Facility billing required.Job Purpose The representative is responsible for collections, account follow up, billing allowance posting for the accounts assigned to them Duties and Responsibilities Ability...
-
Irving, United States CHRISTUS Health Full timeDescriptionSummary: The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of these positions is to ensure account resolution and reconciliation of outstanding balances...
-
Irving, Texas, United States CHRISTUS Health Full timeSummary:The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of these positions is to ensure account resolution and reconciliation of outstanding balances for CHRISTUS...
-
Patient Billing Specialist
4 weeks ago
Irving, United States Financial Additions, Inc. Full timeFinancial Additions has partnered with a leading healthcare provider in search of a Patient Billing Specialist. Position will be in-office daily. Company offers:Value driven workplaceThe goal is to develop leadership qualities in all employees.Patient Billing Specialist responsibilities will include:Ensuring that all processes are performed in a timely and...
-
Host - Irving Chili's - No Experience Required
2 weeks ago
Irving, United States Brinker International Full timeRole Overview Our Hosts begin each experience for every Guest that walks into our restaurants by providing hospitality and service that is absolutely Chili's. If you take pride in providing a warm welcome and love making people feel special, then we want to hear from you! * Fast hiring process * Flexible part-time or full-time schedule * Growth...
-
Irving, United States Brinker International Full timeRole Overview Our Hosts begin each experience for every Guest that walks into our restaurants by providing hospitality and service that is absolutely Chili's. If you take pride in providing a warm welcome and love making people feel special, then we want to hear from you! * Fast hiring process * Flexible part-time or full-time schedule * Growth...
-
Acute Care/Trauma Surgeon Opportunity
1 month ago
Irving, Texas, United States Baylor Scott & White Health Full timeAcute Care/Trauma Surgeon Opportunity Irving, TexasBaylor Scott & White Health (BSWH), the largest not-for-profit healthcare provider in the state of Texas, is seeking a fellowship trained General Surgeon in the Irving, Texas market. This is an employed career opportunity with a generous benefits package that offers work-life balance, a competitive salary,...
-
Irving, United States CHRISTUS Irving Corporate Office Full timeJob Description Summary: The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of this position is to ensure account resolution and reconciliation of...
-
Irving, United States Christus Health Full timeJob DescriptionSummary:The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of this position is to ensure account resolution and reconciliation of outstanding balances...
-
Irving, TX, United States Christus Health Full timeDescriptionSummary: The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of this position is to ensure account resolution and reconciliation of outstanding balances...
