2017 Top 25 Best Places To Work In Inland NW!
Job 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, analysis, and the ability to provide guidance to fellow team members.
Healthcare Resource Group (HRG) provides revenue cycle services to hospitals and clinics throughout the United States. Due to continued growth, we are seeking to add medical billers to our talented Extended Business Office (EBO) Team of at our Spokane Valley Washington office. As an employee-owned company, we are committed to providing extraordinary service delivered with the utmost integrity and professionalism.
What HRG Offers:
Competitive compensation and referral bonuses
Career growth opportunities
Employee ownership
HRG paid retirement plan through Employee Stock Ownership Plan
Medical / Dental / Vision / Life / HSA / Supplemental / Wellness Program
Paid time off, sick days and paid holidays
Merchant discounts
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.
Continuously ensure unresolved issues are communicated early and escalated to management at appropriate time.
Identifies development opportunities to maximize the proficiency of HRG's proprietary database.
Perform additional duties as assigned.
Develop and maintain an understanding of regulatory requirements for government and third party payers, including billing/payment guidelines as well as HIPAA requirements.
Knowledge of all applicable HRG/Client billing, cash posting, & follow-up procedures.
Billing Functions:
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
Working knowledge of assigned EDI system
Work rejected claims in client EDI system and/or DDE
Perform secondary claim billing and financial class verification from daily EOB’s
Ability to work with HIS systems & EDI systems to correct claim mapping
Track claim edits and rejections and communicate findings with supervisor
Ability to provide guidance to fellow team members
Categorize daily claim validation and edits for reporting/trendin
Follow-up Functions:
Contact insurance carriers through website, email or telephone to resolve outstanding accounts
Analyze and resolve moderately complex insurance denials
Appeal and/or resubmit unresolved accounts to insurance carriers
Research and respond to insurance correspondence
Research and obtain required documents to resolve misdirected payments
Status accounts correctly based on client & HRG policy to ensure accurate account action
Analyze work list to spot trends; assess opportunities to improve account quantity
Qualifications:
Medical billing experience; experience with Medicare a big plus
Knowledge of health care terminology, laws and regulations
Knowledge in Excel with Experience in Microsoft Office applications
Proficient with data entry and multi-tasking in a Window’s environment
Effective verbal and written communication skills
Strong teamwork skills
Critical thinking and problem solving abilities
Responsible, reliable and accountable
Proficient with 10-key
Ability to make independent decisions
Ability to travel by automobile or commercial transportation
Ability to read documents and computer screens, potentially for extended periods of time
Dialing and responding to telephone or in-person inquiries and daily assignments
Sitting at a desk or computer terminal and writing, typing, keying and coding information
Proficient with data entry and multi-tasking in a Window’s environment