The main objective of this position is to ensure correct processing of all insurance claims of all hospital. Able to interpret & implement specified insurance billing guidelines. Coordinates all facets for insurance billing. credits and collection of A/R. This role ensures duties are completed accurately and timely while acting as a team player for optimum office flow and excellent patient service. Performs other duties as assigned.
|Description||Minimum Required||Preferred / Desired|
|Strong verbal and written skills Must be able to work independently within assigned guidelines Shows initiative and enjoys working as a team in a fast paces and stressful environment with strong attention to details. At least one year in a hospital/physician business office setting.||Experience in medical billing, previous employment in the insurance industry, or professional certification, three to five years preferred.|
|One to 3 years medical claims billing or processing with some college, vocational or certification in the insurance industry.|
|PC Skills Keyboarding 35-50 words per minute||Experience with MS Word, Excel and ability to learning new computer programs|
|Ability to read, understand, interpret and resolve payer front end denials Ability to research payer regulations and determine appropriate claim submissions Ability to utilize multiple patients accounting and billing applications including but not limited to connect systems, claims clearing house systems, payer systems, internet. Ability to interface with the staff at the insurance carriers and hospital personnel. Ability to read, write and understand documents, correspondence, and memos Ability to effectively present information one-to-one and in group situations to customers, clients, and other employees in the organization Critical thinking skills required Effective PC skills||Knowledge of ICD-9/ICD-10, CPT and HCPCS codes, Compliance, OSHA, and HIPPA regulations.|