Position Summary

Works hospital claims to assure timely billing and appropriate reimbursement from Non-Govermental Insurance Companies.

Primary Position Responsibilities

Utilize tools, software and reports provided. Perform all activities for billing, claim adjustment, account follow-up processes. Complete payment review, working Compass Exception Reports. Process denials timely. Exhibit strong professional customer service in daily interactions. Other duties as warranted.  

Qualifications

Minimum Education: Required: High School Education or equivalent Preferred: Associates Degree in Business Administration
Minimum Years of Experience (Amount, Type and Variation): Required: None Preferred: Two years experience in a hospital or physician billing environment, two years experience working on a Windows based software package and prior experience working in a customer service environment. Experience with Medicare Rules, DRG/APC payment methodology.
License, Registry or Certification: Required: None Preferred: Certificate and/or Advanced Specialied or technical training, IE: Certified Revenue Cycle Specialist - Institutional (CRCS-I) or Certified Revenue Cycle Specialist - Professional (CRCS-P) through AAHAM.
Knowledge, Skills and/or Abilities: Required: Computer Skills, Customer Service Skills Preferred: Detail oriented, bookkeeping skills, Team player