Sauk Meadow Health Care.

  • Meadow du Sac, WI


  • Long-term.

  • Full-time.
Task Description:

POSITION SPECIFICS

Title: Medical Billing Professional

FTE: 1.0 FTE (40 hours/week)

Set Up: Monday– Friday from 8: 00 am – 4: 30 pm

Vacation Rotation: N/A

Weekend Rotation: N/A

POSITION SUMMARY

Accountable for tasks such as claims submission, insurance coverage follow up, publishing insurance coverage payments, fixing up and stabilizing accounts, along with preparing bank deposits. This position has direct contact with clients and insurer to deal with protection and/or rejection concerns. They are accountable for investigating and examining payments to make sure precision and following up with the insurance provider relating to any disparities.

POSITION TECHNICAL DUTIES:

DECLARES SUBMISSION Download electronic main and secondary claims to electronic claims supplier.

  • Send claims for repayment to insurance coverage providers.
  • Submit paper secondary claims.

INSURANCE COVERAGE FOLLOW UP/RESOLUTION Act on unsettled claims and start insurance coverage tracking report or worklist.

  • Correspond with insurance coverage providers plainly discussing claim issues for any claims which are not processed properly.
  • Reconciles and resubmits rejected claims to make sure correct compensation.
  • Audit issue client accounts.
  • Have direct interaction with clients concerning their accounts.
  • Act On all appointed accounts from within the billing systems.
  • Research study and evaluate accounts and payments; reverses balances to credit or debit if charges were poorly billed or if payments were inaccurate.
  • Make sure that all conditions for payment invoice have actually been pleased, that includes, however is not restricted to precise charges and monetary class, authorization/certification/information, declares address, ICD-9 and CPT-4 coding, client insurance coverage eligibility, client advantage protection and client obligation.
  • React to all inbound correspondence and asks from payers, clients, and other suitable celebrations.
  • Start contact with clients as required.
  • Start suggestion and action prepare for solving accounts.
  • Examine accounts to identify any write-offs or corrections needed, consisting of replicate charges.
  • Prepare refund ask for any cash due client or insurer.
  • Compose suitable notes in system for each account, consisting of any action taken.
  • Deal with in an expert and private way all correspondence, paperwork and files.
  • Evaluation numerous reports to recognize rejections and edits; fixes claims, recommend actions strategies to remove theses denials/edits in the future, and figures out suitability for appeals.

POSTING/BALANCING Edit, check and prepare payment invoices.

  • Go into payments on client accounts in computer system billing system.
  • Run, evaluation and balance electronic invoice summary and make the everyday bank deposit.
  • Post money drawer cash from centers and balances money drawers.
  • Prepare write-off ask for rejected claims with can not be appealed.

OTHER Understand and follow guidelines relating to insurance coverage billing.

  • Raise concerns, as suitable, to the manager
  • Meet production requirements such as Workplace quality and amount standards.
  • Assistance SPH core worths, policies and treatments.
  • Establish payment plans according to standards as asked for by clients.
  • Prepare correspondence to patient/guarantor.

POSITION REQUIREMENTS

Education

  • Needed: High school degree or equivalent
  • Preferred: Technical diploma in Medical Billing

Experience

  • Needed: None
  • Preferred: 1 to 3 years in a comparable position

Licenses and Registrations

  • Needed: Conclusion of Qualified Client Accounts Service Technician (CPAT) program
  • Preferred: None

Accreditation( s):

  • Needed: None
  • Preferred: None

ADVANTAGE SUMMARY

1. Competitive health and oral insurance coverage alternatives

2. Versatile paid time off to stabilize work and life

3. Retirement strategy with instant vesting and company match

4. Free subscription to our cutting edge physical fitness center

5. Generous tuition repayment

6. Company supplied life and special needs insurance coverage.

Sauk Grassy Field Health Care.

  • Apply Now.