Business Office/Clerical

Precertification Clerk - FT

Precertification Clerk position available. Position hours are 8:00 am to 5:00 pm Monday through Friday. Knowledge of CPT codes, ICD-10 and Insurance billing is preferred. Computer skills are a must.


Medicare Billing Specialist - FT

Under the direction of the Director of Patient Financial Services the Medicare Billing Specialist verifies charges and Medicare/insurance information, releases Medicare and MSP claims electronically, sends hard copy claims if appropriate, follows up on all unpaid claims. Works Medicare On-Line system, past due reports, rejection reports, Medicare information requests.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

  • Effectively present information and respond to questions from groups of managers, staff members, patients, and patient families, outside agencies and the general public

  • Daily billing of Medicare/MSP claims

  • Verifies all Medicare and Insurance information and checks each bill for correctness of charges on a daily basis.           

  • Make necessary changes by working with departments throughout the hospital and the Medicare on-line-system.

  • Bills electronically all claims that are eligible

  • Bills Hard copy all claims that are not eligible for electronically remittance.

  • Shares responsibility-downloading claims into the Electronic Billing System from the main computer in addition to transmission of claims

  • Responsible for follow-up of all the above claims     

  • By using daily report follows up on the entire above Medicare, MSP, Secondary insurance claims within a 45-day period.

  • Makes all necessary Medicare corrections on the Medicare-On Line System

  • Requests Medical records on all requests from HCFA , and makes sure they are sent in a timely manner.

  • Sends in appeals when appropriate for hospital or patients

  • Makes adjustments when necessary to all Medicare claims

  • Weekly works Medicare report for timely payment of claims 

  • Consistently works the Medicaid Reject remittance for the corrections of these claims and possible resubmission.

  • Reviews, research, and resolve all Medicare Credit Balance

  • Responsible for the Quarterly Medicare Credit Balance Report; Pulls all Credit balances from a report, and reports to the Patient Accounts Director for submission of information to HCFA

  • Other duties may be assigned



E/R REGISTRATION CLERK - FT

FT E/R REGISTRATION CLERK.


Billing/Payment Coordinator - FT

Full Time Billing/Payment Coordinator in Physician Billing office. Will post insurance and patient payments to individual accounts. Will aid in working outstanding receivable and preparing physician billing for claims submissions.


Central Wide Scheduling - FT

Central Wide Scheduling

Scheduling Clerk will schedule appointments for various departments within the hospital, cover the Bed Board phone, and review all incoming orders received through fax or patient walk in.

Required skills are:

  • High school diploma or equivalent

  • Must have knowledge of medical terminology and familiarity with medical diagnostic procedures and health care billing and authorization (knowledge of ICD10 and CPT)

  • Previous experience in appointment scheduling in a health care environment Experience in customer service

  • Typing speed of 45 WPM and basic experience with computers, calculators, copiers, FAX  and phone systems Ability to work with speed and accuracy while completing multiple projects is

  • Must be thorough and able to follow detailed instructions

  • Must be highly  skilled in verbal communication, problem solving, and prioritization and organization

     

    Desirable Skills are:

  • Hospital registration or admitting experience is desirable

  • Knowledge of insurance authorization is desirable