Posted in Other 30+ days ago.
Requisition ID |
2021-15509 |
Location |
US-MO-West Plains |
Employment Type |
Regular Full-Time |
Job Description
Job Description Summary : JOB SUMMARY
Responsible for management of assigned accounts that may fall anywhere in the revenue cycle of the claim.
ESSENTIAL FUNCTIONS/DUTIES
* Gathers information necessary to bill appropriate payor
* Examines the patient record and/or research all avenues in order to gather information
* Bills the appropriate payor
* Uses proper forms and processes for billing
* Supports process improvements to assure quality and timely documentation
* Monitors payments monthly concerning reviews and appeals process.
* Distributes monthly statements to patients advising of account status
* Follow billing process, follow accounts, makes necessary contacts with insurance payors or patients to assure maximum reimbursement
* Works closely with all billing and support service groups (Review, Auditors, Denial Management, etc.) to assure maximum reimbursement
* Perform all other duties as assigned
QUALIFICATIONS
Experience:
* Knowledge of Sweet billing system
* Knowledge of state laws and statutes concerning litigation and probate matters
* One year experience in an office atmosphere with knowledge of medical billing regarding collection on accounts.
Education:
* High school diploma or equivalent
Skills:
* Ability to calculate numbers, correct entries, and post to records
* Ability to gather data, compile information, and prepare reports.
* Ability to use independent judgment and to manage and impart confidential information.
* Ability to prepare routine administrative work
* Records maintenance skills
Credentials/Licenses:
* N/A | Job Description :
WORKING CONDITIONS AND MENTAL/PHYSICAL REQUIREMENTS
Working Conditions:
* Work in a team environment
* Utilize various software programs
* May be required to sit for long periods of time
Physical Demands:
* Critical thinking skills with the ability to use logic and reasoning to identify the strengths and weaknesses of altertive solutions, conclusions or approaches to problems.]
GUIDING VALUES AND BEHAVIORS
Employee must consistently exhibit our guiding principles:
* Patient Care - We continually earn the privilege to care for our patients. It is at the forefront of everything we do.
* One Team - We respect each other and achieve together what no individual can alone.
* Innovation - We are driven to develop solutions that inspire progress.
* Vigilance - We will never waver in our commitment to safety and preparedness in the fulfillment of our duties.
* Ownership - We are accountable for what we do and take pride in how we do it.
* Citizenship - We are dedicated to being good stewards in the communities we serve.
REPORTING RELATIONSHIPS
Reports to: Team Supervisor
Interrelationships: Account Representatives, all employees
EEO Statement
Global Medical Response and its family of companies are an Equal Opportunity Employer including Veterans and Disabled
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