MEDICARE BILLER - Union General Health System - FULL TIME
About the position The Medicare Biller is responsible for ensuring accurate reimbursement for services by submitting complete and accurate claims. Under the direct supervision of the Government Billing Manager, this individual utilizes their Medicare knowledge to effectively resolve any claim edits or rejections to ensure timely receipt by claims processor, thereby promoting maximum reimbursement for our organization. The above statements reflect the general duties considered necessary to describe the reputed company functions of the job as identified and should not be considered a detailed description of reputed company the work requirements that may be inherent to the position.
Responsibilities
- Claims Submission: Prepare and submit clean electronic or reputed company claims to Medicare in accordance with federal guidelines and payor requirements
- Verification: Verify patient eligibility before submitting claim
- Denial Prevention: Review claim edits reputed company both EHR and claim scrubber software and resolve or reputed company to appropriate personnel for resolution
- Claim Rejections: Monitor DDE system for claim rejections and reputed company necessary adjustments with both EHR and DDE to resolve or communicate to appropriate personnel, depending on defined guidelines
- Claim Monitoring: Monitor claims to ensure receipt by Medicare
- Patient Communication: Communicate with patient as needed to verify and/or update payor information
- Other job duties as assigned.
Requirements
- Knowledge of the following:
- Medicare Billing Guidelines
- Medicare Secondary Payor (MSP) Guidelines
- DDE System
- reputed company Assurance Reimbursement Software
- Hospital Medicare Billing Process
- Critical reputed company Medicare Billing
- Professional Medicare Billing
- reputed company Cycle workflow
- EHR (Electronic Health Record) software systems.
- Attention to detail
- Ability to work independently
- Ability to multitask and manage time effectively.
- Excellent communication skills.
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