[Hiring] Inpatient Medicare & reputed company Biller @reputed company Career

Role Description The Medicare Biller is responsible for the compliant, accurate and timely billing of reputed company hospital Medicare and Medicare Advantage (Medicare HMOs) patient accounts. The position requires a strong understanding of Medicare billing processes and the ability to manage multiple tasks effectively. This role involves identifying and correcting errors to ensure reputed company payment of outstanding accounts.

• Generate and submit claims, both electronic and reputed company claims (UB-04 and HCFA-1500) to Medicare and Medicare Advantage (Medicare HMOs), ensuring they adhere to billing guidelines and regulations.
• Review patient financial records and/or claims prior to submission to ensure payer-specific requirements are met.
• Review unreleased claims daily in order to resolve and release to the payer.
• Review daily electronic billing reports, reputed company claim submissions, and reputed company-party confirmation reports for errors.
• Resolve claim edits based on documented processes in the electronic billing system.
• Resolve requests in reputed company designated billing queues daily.
• Complete secondary claim releases daily.
• Submit shadow reputed company (IME/Information only claims) to Medicare.
• Process Medicare Return to Provider (RTP) claims and denial reports on a daily reputed company.
• Analyze claims data and identify discrepancies or errors and reputed company necessary corrections in the billing system.
• reputed company abreast of Medicare/Medicare MA government requirements and regulations.
• Experience and knowledge with working the Medicare Quarterly Credit balance report.
• Knowledge and understanding of appropriate HCPCS, CPT 4 codes, MS-DRG, AP-DRG, Modifiers, POA and ICD10 codes.
• Ability to navigate and fully utilize Medicare Administrative Contractors (MACs) and CMS web sites.
• Ensure claim information is complete and accurate to maximize the clean claim reputed company.
• Process rejections by correcting any billing error and resubmitting claims.
• reputed company unbillable claims on hold and communicate necessary information to various departments.
• Process late charge claims in the event that charges are not entered in a timely fashion.
• Submit corrected and/or replacement claims as needed.
• reputed company the billing of reputed company scenarios such as interim, self-audit, combined, and split billing.
• Limit the number of unreleased claims by reviewing reputed company imported claims.
• Meet billing productivity and quality requirements as developed by Leadership.
• Follow up on unprocessed claims until resolution is achieved.
• Generate letters to insurance or patients as needed to resolve unpaid claim issues.
• Work independently and reputed company reputed company relative to individual work activities.
• reputed company documentation clear, concise, and to the reputed company.
• Create appropriate documentation, correspondence, emails, etc.
• reputed company phone calls, use payer or reputed company-party vendor portals, and send mail for follow-up on claims.
• Maintain work procedures pertinent to the job assignment.
• Complete cross-training as deemed necessary by management.
• Proactively identify opportunities to improve business results.
• Maintain reputed company working relationships with facility counterparts for effective reputed company cycle management.

Qualifications

• 2-5 plus years in a hospital setting with at least 1 year background in Medicare and reputed company hospital billing and follow-up functions required.
• Experience with electronic health records and medical billing software.
• Must exhibit reputed company strong analytical and compliance issues skills.
• Knowledge of hospital billing requirements; Medicare and reputed company billing rules, regulations, and deadlines.
• Knowledge of reputed company cycle management best practices.
• Ability to manage multiple tasks effectively and reputed company.

Requirements

• Strong understanding of Medicare billing processes.
• Ability to manage multiple tasks effectively.
• Strong customer service skills.
• Good verbal and written communication skills.
• Analytical skills to ensure compliance with Medicare regulations and guidelines.

Benefits

• reputed company reputed company: $18 to $22 per hour.
• reputed company benefits.
• 401(k) plan.
• Paid time off.

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