Claims Billing Representative I

4 weeks ago

Middleton, United States UW Health Care Direct Full time

**Position Summary**

The Claims Billing Representative I produce and submits claims to insurance companies, performs collection calls, answers patients’ billing questions, and ensures records are kept in accordance with policies and procedures.

**Essential Job Knowledge**
- Contributes to Operations/Billing meetings.
- Develops and maintains detailed guidelines in order to bill accounts.
- Is responsive to coaching/adjustments.
- Identifies and reports problems causing inefficiencies in processes.
- Thoroughly reviews patient notes to ensure claims are billed correctly.
- Processes insurance claims correctly and promptly.
- In case of billing errors, performs credit/rebills.
- Understands insurance billing and follow-up processes in order to effectively communicate with callers.
- Handles phone contact with questions from insurers or providers appropriately.
- Coordinates with supervisor regarding hardware/software issues.
- Maintains and files patient records accurately.
- Facilitates prompt resolution of outstanding account balances (including credit balances) through appeals, follow-up, and other means to ensure timely and accurate collections.
- Prioritizes accounts to maximize collections.
- Proficient in researching and resolving delinquent accounts to ensure timely collections.
- Submits appropriate documentation for adjustments, write offs or bad debt to manager/supervisor.
- Notifies supervisor of problem accounts.
- Clearly communicates with patients, guarantors, and/or other interested parties regarding questions about their bill, concerns about their ability to pay, and/or complaints about services in a courteous, kind, and professional manner.
- Refers patients with delinquent balances to collections agency and assists in filling paperwork with the court in the event of deceased patients with outstanding balances and open estates.

**Job Requirements**
- High school diploma or equivalent.
- Minimum of two years reimbursement and/or insurance experience preferred.
- Infusion, home health, or DME experience preferred.
- Strong interpersonal, communication and organizational skills needed.

Starting pay: $20/hr. - based on experience. Remote work available after onsite training expectations are met. Required to come onsite quarterly and as needed.

**Benefits Include**:

- ** Health, **Dental, and **Vision coverage - Competitive premiums**:

- ** 401K matching - we match 100% on the first 3% you contribute and then match 50% on the next 2% you contribute**:

- ** Employee Assistance Program - A great resource when facing different situations in life Confidential**:

- ** PTO - Generous PTO 8.92 hours accrued biweekly for a fulltime position (80 hours per pay period)**:

- ** Flex Spending Account**:

- ** Dependent Care**:

- ** Short Term Disability - Employer Paid**:

- ** Long Term Disability - Employer Paid**:

- ** Basic Life Insurance & AD&D - Employer Paid**:

- ** Voluntary Life Insurance**:

- ** Benefits take effect the first day of the following month you are hired 401k eligibility starts one month after all other benefits**

**UW Health Care Direct has been an affiliate of UW Health since 1994. In July of 2020 UW Health Care Direct (formerly known as Chartwell Midwest Wisconsin) officially consolidated all community
- based home health services to Chartwell from UW Health and Unity Point Health leading to the establishment of UW Health Care Direct. UW Health Care Direct is dedicated to providing home health care services in the Dane County area, ensuring the highest quality of care for the community.**

**Click the link below to learn more**

**Mission Statement**:As healthcare providers, we expect to be the best at what we do and do what is right every time. We hold ourselves accountable to safety, service, and compassion. Through these values, we strive to make a difference in the lives of our patients and employees.

**Click on the link below to view our opportunities**

UW Health Care Direct - UW Health - Remarkable Careers

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