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The Billing Specialist is responsible for processing claims electronically (or via mail if required) to third party payers, working all billing vendor edits including Medicare Service Center daily unbilled reports, working account delays daily from the hospital bill alert reports and posting correct late charges to accounts.
DUTIES (included but not limited to):
Resolves claim edits based on documented processes in the electronic billing system
Communicates edit trends to Team Lead/Manager/Director
Reviews unreleased claims daily in order to resolve and release to the payer
Resolves requests in all designated billing queues in eRequest and CRT daily
Completes secondary claim releases daily
Reviews the COMP:MED001 report daily of post final bill coding changes and rebills as required
Documents Artiva collection system, eRequest communication system or Relay Assurance billing system related to activities completed for claim release
Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
Other duties as assigned
KNOWLEDGE, SKILLS & ABILITIES:
Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.
Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
Interpersonal skills - able to work effectively with other employees, patients and external parties
PC skills - demonstrates proficiency in Microsoft Office applications and others as required
Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes, have ability to work quickly and accurately in a fast-paced environment while managing multiple demands, ability to work both independently and collaboratively as a team player, adaptability, analytical and problem solving ability and
attention to detail and able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately.
High school diploma or GED required.
One year of related experience required.
This is a full-time position.
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