AR Specialist

Steele Memorial Medical Center; Salmon (ID); On-site; USD 38,000 - 52,000; Full time

Job summary

Steele Memorial Medical Center in Salmon, Idaho is seeking a billing professional to manage Medicare, Medicaid, and commercial claims. You will pursue collection of all claims, file electronic or paper claims, and track denials with timely follow-up across payer types.

The role emphasizes accuracy, timely billing, confidentiality, and strong relationships with insurance carriers. A related education or experience is required for this position.

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.

Responsibilities

• 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 aging accounts through the WQs for assigned alphabet portion.
• Secures needed medical documentation required or requested by insurances.
• 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.

Skills

Billing follow-up

Claim processing

Verbal and written communication

Education

One year certificate or equivalent

Job description

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.

Check Out Salmon, ID

Salmon, Idaho Experience

Requirements

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!