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About this opportunity
Job Summary The Acute Claim Biller - UB04 & CMS-1500 (eClinicalWorks) position is responsible for day-to-day execution of complete business office services. This position is responsible for providing claims processing services to Critical Access Hospital (UB-04) and Rural Health Clinic (CMS-1500) facilities. This includes coordinating the day to day activities of a hospital's or clinic’s business office such as patient billing and collection, third-party payer relations, and/or preparation of insurance claims. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: • Coordinates business office functions and personnel that may include, but is not limited to patient billing, credit and collections, and data entry. • Recommends new processes and changes in current processes. • Implements controls to ensure appropriate submission, billing and credit and collections are kept in accordance with established procedures • Implements appropriate procedures for follow-up on third party approvals, billing, and collection of overdue accounts • Ensures that accurate and timely billing is being done by staff members in accordance with established procedures and third-party requirements • Responsible for consistently meeting production and quality assurance standards • Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer • Updates job knowledge by participating in company offered education opportunities • Protects customer information by keeping all information confidential • Processes miscellaneous paperwork • Ability to work with high profile customers with difficult processes • May regularly be asked to help with team projects • Responsible for assisting manager in the management of employees which would include coaching, training and performing necessary disciplinary actions including following up on action plans for their employees. • Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer • Ensures employee compliance with dress code, attendance and other company policies. • Processes miscellaneous paperwork and performs other administrative duties as assigned. Minimum Requirements: Education/Experience/Certification Requirements • At least 3-5 years Full-Cycle billing experience, to include BOTH Acute Hospital and Physician (Profee) claims • Experience with Claims AND Denial work queue's • Experience using eClinicalWorks E.M.R - REQUIRED • Familiar with Commercial, Workers Comp, and VA claims REQUIRED • Strong organizational, multi-tasking, and time-management skills. • Must be detail oriented and able to follow through on issues to resolution. • Must be able to act both independently and as a team member. • High School Diploma or equivalent combination of education and relevant experience needed. • Excellent critical thinking, organizational, and time management skills with a strong attention to detail, accuracy, and follow through
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- Eligible locations
- Remote — Remote - US