Job Description

The primary function of this position is to prepare and submit claims and statements to third-party payers and guarantors.  Responsible for certain coding functions and maintaining accounts receivables. Eligible for 401(k). Schedule: PRN days, must work 4 shifts within a 6 week period.

Essential Duties and Responsibilities include the following.  Other duties may be assigned. 

Process claims daily, provide all required attachments as appropriateSubmits all primary, secondary, and tertiary claims electronically to the clearinghouseCorrects unbilled claim edits as appropriate to ensure claims final billUnderstands and abides by all CMS billing compliance regulationsUnderstands ICD9/10 and CPT/HCPCS coding, CCI edits, APC’s as well as third party payor billing requirementsAppends bilateral, multiple procedure, and special requirement modifiers appropriatelyVerifies accuracy of insurance payments and adjustments received/postedFollow-up on insurance claims within 30 days of billing for commercial, 21 days for government payorsRespond to all billing related inquiries and interact with patients when required to bring account to closurePrint and mail patient statements on a monthly basisReviews outstanding patient A/R on a weekly basis.  Patient account balances of more than 90 days with no payment will be reviewed with manager and turned over to collectionsSubmit refund requests with supporting documentation to managerAssists and backs up other business office positions as neededAnswers telephone, questions, and returns calls in a courteous timely mannerPerforms additional duties as assigned or requested

Education/Experience:

High school diploma or GED certificateSurgery center/hospital/medical office experience preferredMinimum of 1 year billing experience requiredMinimum of 1 year accounts receivables required

Grandview Endoscopy Center is an outpatient endoscopy facility which is located in the Grandview Physicians Plaza at Grandview Medical Center in Birmingham, AL. There are 16 pre/post procedural beds and four state-of-the-art endoscopic procedure rooms. The Center will provide therapeutic and diagnostic services of various diseases involving the gastrointestinal tract, especially colon cancer screenings, in a personalized and caring environment.  Grandview Endoscopy Center anticipates Accreditation Association for Ambulatory Health Care (AAAHC) accreditation CMS Certification, following surveys in late Summer / early Fall of 2019. 

At Grandview Medical Center, we believe in the power of great people and a team approach to make a difference in the health and well-being of the people and communities we serve. Compassion, a commitment to excellence, a safe environment, and opportunities for personal growth define our culture. Whether you work with patients every day or support those who do, you can make an impact by being a part of our team.  

Grandview Medical Center provides equal employment opportunity to all employees and applicants for employment regardless of any individual’s race, color, religion, sex, sexual orientation, gender identity, national origin, age, citizenship, military status, disability, genetic information or any other protected class status in accordance with applicable federal, state, and local laws.