Billing & Claims Specialist — Patient Accounts

Sioux Center Health; Sioux Falls (SD); Sur place; USD 25 000 - 33 000; Plein temps

Avantages offerts par ce poste

PTO available day 1 for eligible hires

Up to 5% employer matching retirement

Career development guided by hands-on.

Résumé du poste

Avera Long Term Care Pharmacy in Sioux Falls, SD is seeking a Billing Associate to verify, submit and adjudicate patient billing information and reconcile accounts receivable remittances. You will process third party payor claims and ensure accuracy in coding and billing, while delivering excellent customer service to internal and external customers.

Responsibilities include handling Medicare benefits explanations, coordinating with other departments, and maintaining documentation for audits.

Qualifications

• Must have strong communication and customer service skills.
• Ability to verify and correct billing input with accuracy.
• Experience with patient billing and third-party payor processes preferred.

Responsabilités

• Respond to external and internal customers concerns regarding accounts in a timely and accurate manner.
• Follow up may include investigating reports and correcting information necessary for complete accuracy. Once verified, corrections and documentation of changes provided to patient and other appropriate departments.
• Investigates and reports on all current reimbursement developments on third party remittances and maintains compliance with coding/billing requirements.
• Directs the preparation, completion and filing of third party payor insurance reimbursement claims, both electronic and paper formats.
• Processes explanation of Medicare Benefits for supplemental insurances.
• Verifies bill accuracy and responsible for review to initiate appeal information when appropriate. Collaborate with other departments for follow-up and timely resolution.
• Comprehends/interprets organization policies, procedures and maintains appropriate records for compliance and audit purposes. Corresponds with other appropriate departments for necessary billing information.
• Reconciles cash management and coordinates daily deposits for all applicable areas.

Connaissances

Communication skills

Billing / customer service

Formation

Associate's Technical degree or 1 to 2 years of related experience

Description du poste

Avera Long Term Care Pharmacy in Sioux Falls, SD is seeking a Billing Associate to verify, submit and adjudicate patient billing information and reconcile accounts receivable remittances. You will process third party payor claims and ensure accuracy in coding and billing, while delivering excellent customer service to internal and external customers.

Responsibilities include handling Medicare benefits explanations, coordinating with other departments, and maintaining documentation for audits.