Accounts Receivable Billing Expert

Center: Administrative Regional Training Cntr

Shift: Shift 1

Status: Full Time FTE: 1.000000

Bargaining Unit: ACE Associates

Exempt from Overtime: Exempt: No

Work Schedule: Days

Hours: 7-3

Summary:

The Revenue Management Center supports the profits cycle for all of the intense care websites and associated departments, service lines and service systems arranged within the severe care website of Mercy Hospital, Sisters of Charity Hospital consisting of the St. Joseph Campus, Kenmore Mercy Hospital, and Mount St. Mary’s Hospital. Integrated this combined base has roughly 1065 beds, over 55,400 yearly inpatient sees, over 1.346 million outpatient gos to and over 163,000 emergency clinic check outs. This debt consolidation comprises around 90% of overall Catholic Health net earnings in excess of roughly $1 billion each year.

This position has obligation for making sure all client encounters are properly finished for group and charge details. Furthermore, all claims should remain in compliance with federal, state and contracted payer requirements and guidelines and processed for payment within all prompt filing requirements. Obligations for this position consist of, however are not restricted to, the following: (1) Review of all claims for precision of market and charge info (2) Review of all work notes to recognize mistakes or concerns with billing and remedy the problem for billing (3) Review and procedure all action files from electronic submissions and other appropriate systems to carry out precise billing (4) Provide evaluation of the very first fourteen days of act on the claim to make sure appropriate invoice of the claim by the insurance provider or State/Federal firm. A high level of customer support is anticipated in this function at Catholic Health.

Responsibilities:

EDUCATION

• High School diploma
• Graduate of a certificate program for Medical Billing Program chosen

EXPERIENCE

• Medical Billing experience chosen

KNOWLEDGE, SKILL AND ABILITY

• Demonstrates understanding of 3rd party billing treatments
• Knowledge of claims evaluation and procedure
• Strong computer system abilities (MS Word and Excel chosen)
• Excellent composed and oral interaction abilities
• Excellent organizational abilities
• Ability to work well with others
• Dependable in both production and presence
• Self-Motivated

WORKING CONDITIONS

• Normal heat, light area, and safe workplace; common of the majority of workplace tasks

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