Description

*JOB SUMMARY* The Billing Representative is responsible for the timely submission of hospital or professional claims to Payers including but not limited to Medicare, Medicaid, Managed Medicare, Managed Medicaid, Managed Care, Commercial, Workers Compensation and Champus/Tricare. *ESSENTIAL FUNCTIONS OF THE ROLE* Perform code and demographic audits on paper and electronic claims for accuracy utilizing the billing scrubber, payer edits and custom edits. Communicate specific problems or concerns to Manager as appropriate. Review electronic claims transmission reports and resolves electronic claims submission (ECS) rejections by making corrections in system, and resubmitting for payment. Request or post charge corrections and appropriate credit and debit adjustments to patient accounts. Correct patient demographic information when new/correct information is received. Review claims for accuracy and completeness and obtain any missing information. Work rejected claims utilizing compliant and ethical billing practices. Identify and bill secondary or tertiary insurances as needed. Performs other duties as assigned or requested. *KEY SUCCESS FACTORS* *BENEFITS* Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level *QUALIFICATIONS* - EDUCATION - H.S. Diploma/GED Equivalent - EXPERIENCE - Less than 1 Year of Experience