Medical Billing Payment Poster/Follow Up
4 weeks ago
Located in Wichita, KS, Kansas Spine & Specialty Hospital (KSSH) is a regional center for the diagnosis and treatment of disorders of the spine, neck and joint. Dedicated to improving the quality of life of our patients, Kansas Spine practices a team approach, providing patients with access to a specialized team of surgeons, anesthesiologists, neuroradiologists, internal medicine physicians and nurses.
OverviewTwo-years experience required Ensures accurate preparation and submission of insurance claims. Responsible for following claims for payment and maintaining low accounts receivable.
Key Responsibilities:- Maintains database for Insurance denials and appeals.
- Determines patient financial responsibility and arranges suitable payment arrangements with patient; and Patient Service Manager.
- Ensures accurate posting of insurance payments, and adjustments from Remittance Advice in a timely manner.
- Posts write-offs, account adjustments and corrections daily to the patient accounts. Enters and reconciles all charges and credits to patient accounts.
- Files electronic and/ or paper insurance claims daily.
- Reviews each Explanation of Benefits received with payments to verify determination of payment to facility has been reimbursed correctly, and begins appeal process as necessary.
- Reviews status of assigned accounts for unpaid claims and follows up appropriately with insurance company or patient.
- Assists Patient Service Manager with any assigned daily, monthly and yearly reports.
- Handles phone calls from assigned accounts regarding account balances or insurance filings.
- Cross- trains to proficiency in Admissions, Reception and HIM areas, and fills in as needed in these areas for breaks, illness and vacation.
- Documents concisely, precisely and accurately on records or documents as indicated by this policy.
- Communicates effectively and works cooperatively and professionally with all co-workers, management, patients, visitors, physicians and others. Demonstrates work as a team player.
- Participates in Quality Assessment activities as directed for the continuous improvement of patient care and hospital business.
- High School diploma or equivalent required.
- Two years previous experience with accounts receivable, billing and insurance required.
- Computer skills, basic office skills, knowledge of medical terminology required.
Job Posted by ApplicantPro
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