About this opportunity
Sullivan County Community Hospital lists this Patient Representative Biller opportunity in sullivan, Indiana. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Job Title
Qualifications
Education
High school graduate or equivalent
Experience/Skills
Athena experience preferred
Possesses knowledge of business office operations
Understands third party billing requirements
Understands Medicare/Medicaid inpatient and outpatient billing
Strives for customer satisfaction when responding to all patient/customer inquires (internal customers)
Experience using office equipment
Adapts professionally to changes in procedures and/or workload
Possesses excellent written and oral communication skills
Works independently with little supervision
Maintains concentration
Remains committed to a "cross training" philosophy for all assigned tasks
Working Conditions
Works in a well-ventilated, well-lit general office environment
Works well under pressure with attention to time constraints
Routine Responsibilities
Behavioral Expectations
Consistently complies with established Behavioral Expectations
Essential Duties
Reviews, identifies, and corrects claims issues identified in inhouse hold and the claim scrubbing holds
Sends clean, timely claims out on first billing
Works reconciliation desktops to ensure upfront rejection of claims are processed and resubmitted to correct payer
Reviews assigned outstanding accounts receivable by using ATB, queues, and payment reports
Submits timely and accurate adjustments documenting activity in account
Understands and manages denials, submitting timely disputes and appeals
Follows up with insurance companies to ensure claims are processed and paid correctly according to contract
Understands payor contracts and billing guidelines. revenue codes, cpt codes, modifiers, and payor-specific guidelines
Investigates and reports claims denial trends with payer documentation for departments to review and establish action plan
Provides back-up phone support to billing lines daily
Full time/Day shift 80 hours/Biweekly
Worksite address
sullivan, IN, 47882, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.