Biller, Patient Financial Services Job at Mercyhealth
Overview:
- Biller, Patient Accounts, Days, 80 Hrs/2 wks
- Janesville, WI, OR Rockford, IL OR Remote for those with expirence.
- Hybrid remote optional as well and flexible work schedule available. Mercyhealth does not currently support remote workers with residency in the following states: CA, OH, OR, PA, NJ, NY.
Responsible for ensuring claims are sent to third party payers in a reasonable time frame as defined by Revenue Cycle metrics. This includes working claims that fail billing edits in order to resolve errors and submit corrected claims. Assesses errors and quickly and effectively locates information to correct them and release claims for transmission. Works with other areas in the Revenue Cycle to obtain information necessary to correct errors or supply additional information as necessary. Remains up-to-date on regulatory requirements through informal and formal updates, including self-study of payer bulletins and guidelines. Performs other duties as assigned.
Responsibilities:
- Balance system error corrections and removals related to charges and bills sent.
- Review failed claims; solve disputed claims.
- Follows ethical billing practices.
- Uses computer systems to locate patient information.
- Maintains compliance with patient financial services policies and procedures.
- Uses fax machine and other office equipment during the course of normal daily operations.
- Interacts with other staff members to provide pertinent information.
- Reports equipment malfunctions and supply needs, as necessary.
- Access available resources, such as the patient accounting system, biller files, other areas in the Revenue Cycle, or payer databases, to locate missing or incorrect information. Apply creative problem solving skills in order to overcome obstacles and resolve errors.
- Coordinate with management and external departments to resolve unbilled accounts and potentially create process redesign initiatives for long term root cause resolution.
- Balances all claim billing processes.
- Monitors clean claim rates regularly and works to improve clean claims to a goal of 95%.
- Completes special projects as assigned.
- Maintains a comprehensive awareness of all insurance company updates including Federal and State guidelines.
- Meets productivity goals as assigned by the Revenue Cycle Director.
High school diploma or equivalent. Microsoft Excel required and healthcare billing experience preferred. Undertakes self-development activities.
Special Physicial Demands:
The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee is most often required to sit; use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to stand; walk and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, depth perception and ability to adjust focus.
Culture of Excellence Behavior Expectations:
While performing the duties of this job, the employee is regularly required to talk or hear. The employee is most often required to sit; use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to stand; walk and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, depth perception and ability to adjust focus.
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