Description
We are looking for a motivated, detail-oriented individual to join our Business Office team. We offer a team approach to healthcare, competitive pay, and great benefits.
Status: Full-Time - 40 Hours per Week
Shift: Day - 8:00 a.m. to 4:30 p.m.
Days: Monday through Friday
Benefits:
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Flexible Spending Accounts (FSA)
- Health Savings Accounts (HSA)
- Life insurance
- Aflac
- Short-term and long-term disability coverage
- Wellness program and reimbursement
- Free access to Boone County Hospital's onsite fitness room
- Generous PTO Accrual Plan
- Sick Pay
- Iowa Public Employees Retirement System (IPERS)
- Employee Assistance Program (EAP)
- Onsite Cafeteria
POSITION SUMMARY
This position will be responsible for performing billing and follow-up functions, including the investigation of payment delays, resulting from no response, denied, rejected and/or pending claims with the objective of appropriately maximizing reimbursements and ensuring that claims are paid in a timely manner. The position requires strong decision making ability around complex claims processing workflows and required utilization of data coming from multiple resources. This position has the opportunity of working remotely once the employee has demonstrated good performance.
ESSENTIAL FUNCTIONS:
- Resolves billing errors and edits to ensure all claims are filed in a timely manner
- Ensure all claims are accurately transmitted daily and all appropriate documentation is sent when required
- Verify eligibility and claims status on unpaid claims
- Review payment denials and discrepancies and take appropriate action to correct the accounts/claims
- Respond to customer service inquiries
- Perform charge corrections when necessary to ensure services previously billed incorrectly are billed out correctly
- Submit replacement, cancel and appeal claims to third party payers
- Provide timely feedback to management of identified claims issues, repetitive errors, and payer trends to expedite claims adjudication
- Work accounts in assigned queues in accordance with departmental guidelines
- Contact patients for needed information so claims are processed/paid in a timely manner
- Work directly with third party payers and internal/external customers toward effective claims resolution
MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
- Prefer one year of experience within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing medical claims processing and or financial counseling.
- High School Diploma or GED.
WORKING CONDITIONS:
Typical working conditions include sitting at a desk for extended periods, while working on a computer or talking on the phone.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
Vision must be correctable to view computer screens and read printed information. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, and ability to adjust focus.
Hearing must be in the normal range for telephone contacts and other conversations.
The above is intended to describe the general content of and requirements for this job. It is not intended to be a complete statement of duties, responsibilities, or requirements.
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