AR Specialist

T E C Industrial Inc; Salmon (ID); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Wellness program

Health deduction savings (potential $1

Employee wellness initiatives

Job summary

Steele Memorial Medical Center is a rural hospital where you will contribute to a close-knit community by handling patient billing and insurance claims. You will pursue collection efforts and ensure timely billing for Medicare, Medicaid, Blue Cross/Regence and commercial insurers.

The role includes denials tracking, re-billing, and processing secondary/tertiary claims while maintaining strong relationships with carriers and protecting patient confidentiality.

Qualifications

• Billing experience or training related to healthcare claims.
• Experience with Medicare, Medicaid and commercial insurances preferred.
• Ability to process claims and maintain accurate records.

Responsibilities

• Bills insurance for Medicare, Medicaid, Blue Cross/Regence and Commercial insurances.
• Performs follow-up, re-billing, and handles denials and secondary/tertiary bills.
• Maintains relationships with insurance carriers and timely communications.
• Processes refunds and manages aging accounts as assigned.
• Ensures confidentiality and compliance with billing standards.

Skills

Billing

Education

One year certificate from college or technical school

Job description

• Job Category Billing, Financial , Patient Financial Services
• Industry Healthcare, Billing
• Employee Type Full Time Non-Exempt

Contact information

• Name Lincoln Bevers
• Phone [phone]
• Email [e-mail]

Description

NOTE: This is NOT a remote position.

Steele Memorial Medical Center means that we all work in a rural setting that serves a tight knit community. Here your contributions can make a significant difference in patients’ lives! Highly rewarding when you have the ability to provide personalized care and build lasting relationships with all of your patients.

Bills insurance companies for Medicare, Medicaid, Blue Cross/Regence and Commercial insurances. Pursue collection of all claims till payment is made by insurance companies. Performs other work associated with the billing process. Responsible for timely billing functions for all insurances including electronic claims filing, secondary filing and corrected claims. Responsible for denial tracking and reporting.

Duties:

• Works follow-up WQ’s daily, does any re-billing, work the mail, and work WQ’s for denials and sends secondary/tertiary insurance bills.
• Maintains good working relationships with insurance carriers.
• Returns phone messages and communications via email or fax promptly and efficiently.
• Works all credit balance accounts through the WQ for assigned alphabet portion and processes refunds due insurance companies and submits them for approval.
• Works all aging accounts through the WQs for assigned alphabet portion.
• Secures needed medical documentation required or requested by insurances.
• Processes rejections/denials by both making accounts private pay and referring to outsourcing company or correct any billing error and resubmit claims to appropriate insurance carriers
• Prepares and submits hospital and hospital based claims to insurance carriers either electronically or by paper copy for Medicare, Medicaid, Blue Cross/Regence and Commercial insurances
• Follows-up with insurance carriers on unpaid claims till claims are paid or only self-pay balance remains.
• Works with physician or medical record staff to ensure that correct diagnosis/procedures are reported to insurance carriers
• Monitors claims for missing information, authorization/control numbers
• Maintain confidentiality of all information
• Complete work within authorized time to assure compliance with departmental standards
• Keep updated on all billing requirements and changes for all insurance types
• Responsible for pursuing information regarding third party liability insurance and filing all claims. Follow up on accounts until paid in full for Primary and Secondary payer’s responsibility is satisfied

Qualifications :

• One year certificate from college or technical school; or three to six months related experience and/or training; or equivalent combination of education and experience

Summary

• At Steele Memorial Hospital we prioritize maintaining a healthy work-life balance, allowing our employees to enjoy their personal lives while pursuing their professional goals.
• As part of our benefit package, employees can access certain services at our facility free of charge and participate in our wellness initiatives to earn significant health deduction savings – potentially up to $1,100 annually!