Biller - Medicare Specialist

4 weeks ago


Wichita, Kansas, United States Kansas Spine & Specialty Hospital Full time
About Us

Kansas Spine & Specialty Hospital is a regional center for the diagnosis and treatment of disorders of the spine, neck and joint. Our team of dedicated professionals is committed to improving the quality of life of our patients.

Job Summary

We are seeking a highly skilled and detail-oriented Biller - Medicare Specialist to join our team. The successful candidate will be responsible for ensuring accurate preparation and submission of insurance claims, following claims for payment, and maintaining low accounts receivable.

Key Responsibilities:
  1. Maintain a database for insurance denials and appeals.
  2. Determine patient financial responsibility and arrange suitable payment arrangements with the patient and Patient Service Manager.
  3. Ensure accurate posting of insurance payments and adjustments from Remittance Advice in a timely manner.
  4. Post write-offs, account adjustments, and corrections daily to patient accounts.
  5. Review each Explanation of Benefits received with payments to verify determination of payment to the facility has been reimbursed correctly and begin the appeal process as necessary.
  6. Review the status of assigned accounts for unpaid claims and follow up appropriately with the insurance company or patient.
  7. Assist the Patient Service Manager with daily, monthly, and yearly reports.
  8. Handle phone calls from assigned accounts regarding account balances or insurance filings.
  9. Cross-train to proficiency in Admissions, Reception, and HIM areas and fill in as needed.
  10. Communicate effectively and work cooperatively and professionally with all coworkers, management, patients, visitors, physicians, and others.
Qualifications:
  • High School diploma or equivalent required.
  • Two years of previous experience with accounts receivable, billing, and insurance required.
  • Computer skills, basic office skills, and knowledge of medical terminology required.


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