Key skills
R
About this role
Role Overview
- Acting as a liaison for hospitals and clinics using TruBridge’s complete business office services
- Billing insurance companies for all hospital, hospital-based physician and clinic bills
- Pursuing collection of all claims until payment is made by insurance companies
- Preparing and submitting hospital, hospital-based physician and clinic claims to third-party insurance carriers either electronically or by hard copy billing
- Securing needed medical documentation required or requested by third party insurances
- Following up with third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains
- Processing rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers
- Responsible for consistently meeting production and quality assurance standards
- Maintaining quality customer service by following company policies and procedures as well as policies and procedures specific to each customer
- Updating job knowledge by participating in company offered education opportunities
- Protecting customer information by keeping all information confidential
- Processing miscellaneous paperwork
- Ability to work with high profile customers with difficult processes
- Ensuring all claims are submitted daily with a goal of zero errors
- Timely follow up on insurance claim status
- Reading and interpreting an EOB (Explanation of Benefits)
- Responding to inquiries by insurance companies
- Denial Management
- Meeting with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles
- Reviewing late charge reports and filing corrected claims or writing off charges as per client policy
- Reviewing reports identifying readmissions or overlapping service dates and ignoring, merging, or split-billing according to the payer’s rules and the client’s policy
- Reviewing credit reports, resolving credits belonging to a payer when able, and submitting a listing of credits to the facility as required by the payer
Requirements
- 3 years of recent Critical Access or Acute Care facility and professional claim billing
- Meditech E.H.R Experience Required
- Computer skills
- Experience in CPT and ICD-10 coding
- Familiarity with medical terminology
- Ability to communicate with various insurance payers
- Experience in filing claim appeals with insurance companies to ensure maximum reimbursement
- Responsible use of confidential information
- Strong written and verbal skills
- Ability to multi-task
Benefits
- Health insurance
- Professional development opportunities