Inpatient Billing Specialist - Denials & Reimbursement Expert

Apalachee Center, Inc.; Tallahassee (FL); Presencial; USD 31 000 - 42 000; Tempo integral

Resumo da oferta

Apalachee Center, Inc. is seeking a Full Time Admin-Clerical billing specialist in Tallahassee, FL to manage inpatient billing and collections.

Responsibilities include processing charges, insurance information, and denials, while maintaining patient financial records and generating aged receivables reports. The role requires two years of medical clerical/insurance experience, a high school diploma or equivalent, and strong telephone/customer relations skills, including proficiency with a 10-key

Qualificações

• High school diploma or equivalent.
• Two years of medical clerical/insurance experience.
• Excellent telephone/customer relations skills and experience on a 10 key calculator.

Responsabilidades

• Communicate patient information to Inpatient Billings Supervisor, including diagnostic coding, policy-holder details, unit transfers, and benefits.
• Review inpatient admissions for proper insurance documentation and third-party reimbursement potential; coordinate follow-up with Inpatient Billings Supervisor.
• Complete pre-billing processes and edits, including day tickets, pharmacy charges, and discharge information.
• Process inpatient billing to assigned payer sources (insurance, guardian, or self-pay).
• Process EOBs from payers, post payments, rebill co-pays/deductibles, and adjust receivables accordingly.
• Handle denials by coordinating with Utilization Review Coordinator and insurer; provide documentation and corrected billings as needed.
• Maintain written records of steps taken to reverse denials in patient financial records.
• Generate aged receivables reports monthly for review and follow-up; submit to Inpatient Billings Supervisor.
• Review accounts receivable over 90 days with Inpatient Billings Supervisor; discuss potential write-offs.

Conhecimentos

Medical clerical/insurance experience

Telephone customer relations

10-key calculator

Formação académica

High school diploma or equivalent

Descrição da oferta de emprego

Apalachee Center, Inc. is seeking a Full Time Admin-Clerical billing specialist in Tallahassee, FL to manage inpatient billing and collections.

Responsibilities include processing charges, insurance information, and denials, while maintaining patient financial records and generating aged receivables reports. The role requires two years of medical clerical/insurance experience, a high school diploma or equivalent, and strong telephone/customer relations skills, including proficiency with a 10-key