Biller

Chadron Hospital; Chadron (NE); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Benefits after 60 days

Job summary

Chadron Hospital in Chadron, Nebraska is seeking a Medical Biller to handle hospital claims for timely reimbursement. Strong attention to detail and knowledge of medical coding help minimize denials; ability to work independently or with a team is essential.

The role focuses on Medicare and payer billing, requires continuing education on CMS changes, and entails filing claims, following up, and reconciling accounts. This is a full-time benefited position after a 60-day waiting period.

Qualifications

• Medical terminology knowledge for billing purpose.
• Continuing education to stay updated on CMS changes.
• Experience with ICD-10, CPT, HCPCS and Medicare rules.
• Ability to learn hospital computer systems and programs.
• Strong customer service skills.

Responsibilities

• Submit Medicare claims and follow up for payment.
• File secondary and supplementary claims as needed.
• Complete daily billing tasks with minimal write-offs.
• Monitor and maintain assigned accounts and AR delinquencies.
• Research and resubmit rejected/denied claims timely.
• Prepare appeals for denied claims.
• Update notes on calls and account activity as needed.
• Maintain confidentiality of hospital information.

Skills

Medical terminology

Detail oriented

Customer service

Education

High school diploma or equivalent

College degree

Tools

Cerner

SSI clearinghouse

Hospital information systems

Job description

Description

Seeking Full-time

• Full-time, 30-40 hours/week, Monday-Friday, 8:00am - 4:30pm

Benefited position after a 60-day waiting period.

JOB SUMMARY

The Medical Biller position will focus on the processing of hospital claims for timely and accurate reimbursement. Strong attention to detail is needed as well as knowledge of medical coding to help minimize denials. The ability to work independently and as part of a team is important.

PRIMARY RESPONSIBILITIES AND DUTIES

• Submitting Medicare claims and following up for payment fulfillment
• File secondary and supplement claims, as necessary, following Medicare payments.
• Complete billing tasks daily; ensure minimal write-off of reimbursement dollars
• Monitor and maintain assigned accounts
• Research, correct, and resubmit rejected, denied, and returned claims timely
• Prepares appeals/reconsiderations to denied claims.
• Answer questions timely and accurately according to assigned work hours
• Resolve billing issues and assess accounts receivable delinquencies to assigned accounts
• Interpret explanation of benefits for assigned accounts
• Mark outbound calls and inbound calls on accounts and update notes on calls and account activity, as needed.
• Maintain professionalism and customer service
• Provide timely follow-up
• Review and submit account adjustments, balance write-offs, and account reconciliations
• Respects and maintain confidentiality of customer and hospital information
• Continuing Education/Maintains Current Knowledge of:
• Continuing Education is required to maintain knowledge of changes in CMS and related areas of billing, reimbursement, and compliance.
• Attends meetings and workshops as required

Requirements

EDUCATION/LICENSURE/CERTIFICATION

• High school diploma or equivalent required.
• College degree preferred but not required.

EXPERIENCE

• Medical Terminology needed for billing purposes.
• Continuing Education is required to maintain knowledge of changes in CMS and related areas of billing, reimbursement, and compliance.
• Knowledge of the following: ICD-10, CPT Codes, HCPCS Codes
• Medicare billing rules include information on CMS manuals, LCDs, NCDs, CCI edits, etc.
• Ability to learn and utilize efficiently various hospital computer systems and/or programs.
• Strong customer service skills are required.
• Experience in insurance billing with an emphasis on Rural Health Clinic desired
• Knowledge of hospital information system desired
• Experience working with healthcare payers desired.
• Experience with electronic health records
• Knowledge of Cerner and SSI clearinghouse helpful.

ESSENTIAL TECHNICAL MOTOR SKILLS

• Ability to operate computer systems, talk in person on the telephone, hear in person and on the telephone, vision for close work, use of photocopier, fax machine, computer.

INTERPERSONAL SKILLS

• Ability to interact appropriately and professionally with patients, clinic staff, physicians, hospital staff, and the general public.