Hospital Biller

NOR-LEA GENERAL HOSPITAL INC; Lovington (NM); On-site; USD 33,000 - 42,000; Full time

Job summary

NOR-LEA GENERAL HOSPITAL INC in Lovington, NM is seeking a billing professional to perform clerical duties related to processing and billing insurance claims for hospital and physician bills. You will pursue claim payments and handle accompanying documentation.

The role requires a high school degree with experience in medical billing preferred; on-site work with full-time status and a .8 position is offered, along with collaboration with third-party payors.

Qualifications

• High school diploma required.
• Billing/insurance claims experience preferred but not required.
• Familiarity with CPT and DX codes is beneficial.

Responsibilities

• Processes and bills insurance claims for hospital and hospital-based physicians.
• pursues collection of all claims until payment is made by insurance companies.
• Monitor and maintain District AR goals.
• Monitor and maintain Department AR goals.
• Monitor timely filing write-off goals.
• Secure needed medical documentation requested by third-party insurances.
• Process third-party insurance rejections and resubmit claims; follow up with carriers.

Skills

Effective speaking

Problem solving

Professional behavior

Teamwork

Medical terminology

CPT/DX knowledge

Medical insurance knowledge

Education

High school

Job description

Contact information

• Location 1600 N. Main Street,Lovington, NM, 88260,United States
• Employee Type Full-Time .8
• Required Degree High school

• Phone [phone] Ext2154
• Email [e-mail]

Description

Performs clerical duties pertaining to Insurance claims process as assigned. Processes and bill insurance claims for all hospital and hospital based physician bills; pursues collection of all claims until payment is made by insurance companies; and performs other work associated with the billing process.

• Monitor and maintain established District AR goals.
• Monitor and maintain established Department AR goals
• Monitor and maintain timely filing write off goals.
• Secures needed medical documentation required or requested by third party insurances. Monitor claims for missing information and authorization/control numbers.
• Process third-party insurance rejections to patients and resubmit claims as need. Follow up with third-party insurance carriers on unpaid claims.

Values

i - Innovation

"Think Forward" "Set Out-Of-The Box Goals" "Exploring new possibilities" I am the change agent that advocates for our customers. I think outside of the box to create Exceptional experiences that set us apart. I look for solutions and think of new ways to solve problems, even if it is outside of my department.

C - Compassion

"Demonstrate genuine concern" "Display a Selfless attitude" I show kindness in every interaction. I strive to build trust with our co-workers and customers. I will communicate with our co-workers and customers in a way they understand. I will make time to address our co-workers and customers' needs.

A - Accountability

"Show integrity" "Accept Ownership & Responsibility" I will demonstrate integrity by doing the right thing, being honest and having strong moral principles. When mistakes occur, I take the necessary steps to correct them, without dismissing patient concerns and follow through until resolution. I fully document actions taken to ensure continuity of care. I communicate expectations and follow up within defined time frames and provide updates as I understand them for my customers and teammates.

R - Respect

"We value diversity" "Respect is earned" I treat all people with dignity and respect, regardless of their beliefs. I do not use negative/derogatory language. I accept constructive feedback and suggestions for the greater good.

E - Empowerment

"Share Knowledge" "Take Action" I will share knowledge to empower others and encourage them to make informed decisions. I encourage others to reach their full potential. I will encourage trying new things, diverse ideas, and learning from our mistakes. I have the freedom to do what is right for our customers.

ORGANIZATION EXPECTATIONS

Communication

The process of sending and receiving messages with words, verbally, written or in sign language.

Customer Focus

Identifying and responding to current and future patient and other customers’ needs; providing excellent service to internal and external patients and other customers.

Initiative

Identifying and dealing with issues proactively and persistently; seizing opportunities that arise.

Self-Development

Lifelong, voluntary, and self-motivated learning.

Teamwork

Effectively work and complete assignments in group settings. Works independently and cooperatively with others to achieve common goals.

Requirements

Skills, Knowledge and Abilities

Proficiency Level Skill

Senior Effective speaking

Intermediate Problem solving

Senior Professional behavior - Demonstrating/Teaching

Senior Teamwork

Intermediate Medical terminology

Intermediate Stays current with CPT and DX codes

Medical terminology, medical insurance experience preferred but not required.

Education

High school diploma or general education degree (GED).

If you are a current employee or have previously worked for Nor-Lea Hospital District, please contact the Human Resources Department at [e-mail] for your correct username and password.