Medical Biller - Medicare

2018 Best Places to Work in Healthcare Winner!

Location: Spokane Valley, WA

Position Summary

Perform daily hospital business office functions.  Responsibilities include accurate and timely submission of daily assigned claims, rejected claims, and application of payments.  The main job function of the role is to actively call payer organizations or utilize web-based connectivity to pursue reimbursement of medical services rendered and achieve accounts receivable resolution.  This position holds additional duties with respect to research and analysis.

What HRG Offers

  • Career growth opportunities, competitive compensation and referral bonuses

  • HRG paid retirement plan through employee stock ownership plan

  • Healthcare benefits: medical, dental, vision, prescription, life and Wellness Program

  • PTO, sick pay and paid holidays

  • Great culture - winner of Best Places to Work in Healthcare 2016 / 2018 and Best Places to Work INW 2016 / 2017 / 2018

Job Description

Responsibilities

  • Contribute to positive business results by maintaining a workplace characterized by high performance, mutual support, respect and teamwork.

  • Regularly search for and identify opportunities for quality and process improvement resulting in improved efficiency, increased productivity and high customer satisfaction.

  • Complete billing of assigned accounts accurately and within a timely manner

  • Ability to work claim edits and identify errors that may require an edit build

  • Work rejected claims in client EDI system and/or DDE

  • Analyze and resolve moderately complex insurance denials

  • Contact insurance carriers through website, email or telephone to resolve outstanding accounts

  • Appeal and/or resubmit unresolved accounts to insurance carriers

  • Complete cash applications for assigned client(s) accurately and within contractual timelines

  • Identify and attach all denial RA’s to patient accounts in proprietary database

  • Responsible to reconcile monthly transactions for assigned client(s) prior to month end close

Requirements

  • Medicare Part A billing experience

  • Medicare DDE System experience

  • Proficient with 10-key and MS Office applications

  • Knowledge in Excel with experience in Microsoft Office applications

  • Proficient with data entry and multi-tasking in a Window’s environment