https://amzn.to/44P6GXZ
Requisition Number: 505514 |
* Enters customer charges into the system in accordance with NMTS charge structure.
* Verifies all customer demographic and payer information.
* Updates computer charge maintenance files as necessary (i.e. procedure, diagnosis, and insurance master files).
* Processes bills for submission to insurance, and customer/customer statements. Reprocesses or re-bills claims as necessary.
* Assigns the appropriate diagnostic codes and UB92/1500 required billing codes (NMTS).
* Follows billing requirements designated by payer and/or the UB92/1500 manual.
* Performs various follow up activities including telephone calls, appeals, letters and utilizes payer websites to achieve timely resolution.
* Prepares refund requests or forwards to appropriate person depending on department/area.
* Reviews accounts to be considered for write off due to exhausted follow up efforts and time limits.
* Reviews accounts with balances that were a result of incorrect payer payments/adjustments.
* Enters detailed documentation of activity on accounts.
* Prepares and posts various payer remittances.
* Prepares and balances daily deposits.
* Processes credit card payments and posts payment to the appropriate account.
* Identifies credit balances and performs the appropriate action to resolve the credit.
* Assists customers with claims or payment issues.
* Answers telephone billing inquiries from customers, outside sources and in-house personnel.
* Performs skip tracing on accounts that are coded “Return Mail” or when the guarantor cannot be located.
* Performs various customer service duties including inbound/outbound calling and review of customer accounts and resolution in accordance with North Memorial 501R collection policy
* Processes uncollectable accounts for collection agency placement or the NMHC Financial Assistance program after exhausting all payment alternatives and upon review by the Supervisor.
* Ensures compliance with quality assurance and productivitydepartment goals specific to main job responsibilities for each area of the business office in accordance with the mission statement of North Memorial Health.
* Accepts other duties as assigned to promote the accomplishment of organizational goals.
* The team member is accountable to demonstrate proficiency for the skills outlined in the appropriate position skills list.
* The team member is accountable to maintain skill proficiency, including improvement where deemed necessary, and upgrading any additional or new skills on the appropriate position skills list.
* Recognizes and complies with legal, regulatory, accrediting and procedural requirements related to area of responsibility.
* Understands and follows principles and standards as outlined in North Memorial’s Corporate Code of Conduct.
* Protects customer and team member privacy and only accesses customer and/or team member related information as needed to perform job duties.
* Reports violations or areas of concern to supervisor or Corporate Compliance Officer via established methods of communication.
* Understands and follows principles and standards as outlined in North Memorial’s Corporate Code of Conduct.
* Protects customer and team member privacy and only accesses customer and/or team member related information as needed to perform job duties.
* Reports violations or areas of concern to supervisor or Corporate Compliance Officer via established methods of communication.
* Recognizes and complies with legal, regulatory, accrediting and procedural requirements related to area of responsibility.
* Understands and follows principles and standards as outlined in North Memorial’s Corporate Code of Conduct.
* Protects customer and team member privacy and only accesses customer and/or team member related information as needed to perform job duties.
* Reports violations or areas of concern to supervisor or Corporate Compliance Officer via established methods of communication.
* High school graduate or equivalent (i.e., GED) required.
Experience based on area:
* Coding certificate preferred (NMTS) for Coding positions only.
* Two years credit and collections experience required in a health care environment.
* Minimum one year multiple payer medical billing experience required in a health care environment.
* Minimum one year cash application (posting) experience required (will accept two years billing experience)
Knowledge, Skills and Abilities
* Knowledgeable of and skill in using computer billing software.
* Knowledgeable of industry standards and payer requirements.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.
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