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. Full Time Benefits Available.
Front Receptionist in Physicians Offices - FT - FT
Front Receptionist position open in busy Physicians Offices. Duties will include scheduling of patients, answering phones, insurance verification, and other clerical skills. Applicant must be computer proficient and have good communication skills.
Medicare Billing Specialist - FT - FT
Medicare Billing Specialist
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
