Biller I

Corporate Services Division; Rapid City (SD); Sur place; USD 23 000 - 29 000; Plein temps

Avantages offerts par ce poste

Medical, Vision and Dental Coverage

Retirement Plans

Health Savings Account and Flexible Sp

Instant pay

Paid Time Off Accrual Bank

Tuition assistance/reimbursement

Excellent pay differentials

Flexible scheduling

Résumé du poste

Monument Health is seeking a Finance/Patient Accounts professional to ensure accurate interpretation, processing, and payment of medical claims in a fast-paced environment. You will review information for claims, ensure compliance with payer guidelines, and assist in patient account resolution.

Responsibilities include timely follow-up, maintaining documentation, and supporting performance improvements while maintaining strong customer service standards.

Qualifications

• High School Diploma or GED required.
• 1+ years clerical experience preferred.
• 1+ years in medical patient accounts/financial services experience preferred.
• Certifications: CCAT or CPAT preferred.

Responsabilités

• Process inpatient and outpatient medical claims accurately.
• Perform timely follow-up on claims and track issues.
• Research payer requirements and communicate with leadership on submission issues.
• Maintain documentation for claim processing for internal/external customers.
• Identify patient responsibility and transfer to self-pay when needed.
• Contribute to performance improvement and quality control initiatives.

Connaissances

Clerical Experience

Medical Patient Accounts

Financial Services Experience

Formation

High School Diploma/GED

Bachelor's degree in Accounting

Description du poste

Current Employees:If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the \"Career\" icon on your homepage.Primary LocationRapid City, SD USADepartmentCS Patient Financial ServicesScheduled Weekly Hours40Starting Pay Rate Range$16.74 - $20.92(Determined by the knowledge, skills, and experience of the applicant.)Job SummaryPerform duties necessary to ensure the proper interpretation, processing, recording, approval and payment of inpatient and outpatient medical claims. Accurately reviews information for processing claims into a computerized system in accordance with the primary payer specifications and billing guidelines.Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:*Supportive work culture*Medical, Vision and Dental Coverage*Retirement Plans, Health Savings Account, and Flexible Spending Account*Instant pay is available for qualifying positions*Paid Time Off Accrual Bank*Opportunities for growth and advancement*Tuition assistance/reimbursement*Excellent pay differentials on qualifying positions*Flexible schedulingJob DescriptionEssential Functions:Demonstrates application of compliance standards and payer specific data to properly file claims and ensures prompt, appropriate reimbursement of services and supplies billed to third parties and appropriate payment of services and supplies due from patients, as evidenced by documentation, observation and feedback.Demonstrates a working knowledge of third party payer procedures including, but not limited to: Commercial Payers, Veterans Administration, worker' compensation, third-party liability, county payers, and all other third party contractual agreements as required.Conducts timely follow up of claims. Use tools provided to track and trend patterns of claim submission issues that might require Compliance and Charge master staff to resolve, or HIPAA transaction code set review. Research payer requirements and offer suggestions to leadership for claims submission issues.Maintains and updates appropriate system documentation to provide information regarding claim processing to internal or external customers.Identifies unresolved requests of patient responsibility and transfers account to self pay. Performs duties and provides best customer service using behaviors that demonstrate responsibility and accountability.Participates in departmental activities related to performance improvement and quality control.Demonstrates a working knowledge of denial follow up and first level appeals.All other duties as assigned.Additional RequirementsRequired:Education - High School Diploma/GED Equivalent in General StudiesPreferred:Experience - 1+ years of Clerical Experience; 1+ years of Medical Patient Accounts/Financial Services ExperienceEducation - Bachelors degree in Accounting, Business, Health Related FieldCertifications - Certified Clinical Account Technician (CCAT) - Accredited University or accredited training professionals; Certified Patient Account Technician (CPAT) - Accredited University or accredited training professionalsSedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.Job CategoryFinanceJob FamilyInsurance ServicesShiftRequires the ability to work assigned schedules and hours as determined by the departmentEmployee TypeRegular15 Corporate Services DivisionMake a difference. Every day.Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.