8:00 AM - 4:30 PM, MONDAY - FRIDAY
FULL TIME BENEFITED
The biller is responsible for prompt and accurate billing and
follow-up for all hospital and related professional services
provided to patients covered by third party payers, including:
Medicare, Medicaid, Blue Cross, Commercial, Workers Compensation
and all Managed Care Programs. Responsible to secure timely and
accurate reimbursement from third party payers and patients based
on appropriate billing and follow up activities. Demonstrates
excellent customer service performance in that his/her attitude and
actions are at all times consistent with the standards contained in
the Vision, Mission and Values of Covenant and the commitment to
providing Extraordinary Care for Every Generation.
Resolves patient billing inquiries and problems, follows up on
balances due from insurance companies and patients.
Ability to assist patient/family with questions or concerns
about their account as it pertains to payment/reimbursement and
setting up payment contracts.
Performs insurance billing clerical duties including review and
verification of patient account information against payer program
Enters data electronically to process charges, payments. denials
Understands the Revenue Cycle.
Maintains knowledge of Federal, State and local billing
regulations, and informs management and compliance department of
Completes and submits claims for payment, electronic or hard
copy, including initial billing, all insurance re-billing, and
secondary or subsequent billings.
Responsible for accuracy and third party compliance in all
aspects of billing activities in particular in relating to clinical
attachments, cpt coding, occurrence, condition and value codes,
pre-certification, contractual adjustments or required forms.
Strictly adheres to all rules/regulations and quickly responds
to changes, as notified by insurance carriers, employers, third
party payers, or government agencies.
Understands the relationship of timely and thorough claims
follow-up to assist in the reduction of days in accounts receivable
and payer turn around.
Maintains a thorough understanding of all HMO, PPO, or managed
care contractual relationships and able to determine if correct
payments and adjustments were made.
Ability to identify a credit balance account and make the
correct determination as to whom/where the credit balance should be
refunded or transferred.
Reports all repeated errors or omissions of patient insurance
and demographic information to the manager.
Corrects all claims edits or errors promptly and before
Prioritizes issues and workload effectively.
Works effectively as both a team member and one on one
Ability to communicate effectively both verbally and in
Strong working knowledge of departmental policies, procedures
and business operations and how they interrelate to other
departments in the organization
Third party billing and collections
Basic understanding of UB-94, 1500,CPT, ICD-9 Coding.
Knowledge of hospital and/or medical billing and insurance claim
Insurance and/or account follow-up.
Knowledge of medical and insurance terminology.
Minimal typing skills of 35 words/ minute.
Prefer a strong working knowledge of Excel, Word, PowerPoint
Must possess clerical skills:10-key, computer, telephone,
Must have good written and oral communication skills
Must be a team player with the ability to work independently as
well as in small or large teams
Protects and maintains the confidential nature of
Associates Degree preferred.
Must have some post HS education, preferably in accounting,
information systems or third party billings.
Must have a minimum of 18-24 months of relevant work experience
or equivalent combination of training and relevant work
Hospital billing and insurance claim processing experience
Insurance and/or account follow-up techniques experience
NOTICE REGARDING LATEX SENSITIVITY IN APPLICANTS FOR
It has been determined that Covenant HealthCare cannot provide a
latex safe or latex free work environment at any of its facilities.
Unfortunately, that means that any individual, including an
applicant or an employee, is likely to be exposed to latex while on
Covenant's premises. Therefore, latex tolerance is considered to be
an essential function for any position with Covenant.