Must have experience working on UB-04 Claims for Hospital/Facility. Should work on A/R Follow Up. Experience in Hospital/Facility billing required .

Job Purpose

The representative is responsible for collections, account follow up, billing allowance posting for the accounts assigned to them

Duties and Responsibilities

Ability to use various workflow system and client host system such as STAR, SMS, EAGLE and EPIC, as well as other tools available to them to collect payments and resolve accounts

Working knowledge of the insurance follow-up process with understanding of the fundamental concepts in healthcare reimbursement methodologies

Understanding of government, Medicare and Medicaid claims

Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites

Review and updates all patient and financial information accurately as given.

Verifies that information is accurate as to individual or insurance company responsible for payment of bill.

Monitors all billings for accuracy, updating any that contain known errors.

Monitors Medicaid/healthy options coupons to assure services are billed within expected timeframes

Bills all hospital services to primary insurer or patient correctly and within expected timeframe

Follows up with insurance companies on all assigned accounts within expected timeframe Experience in Hospital/Facility billing required

2-3 years’ experience in insurance collections, including submitting and following up on claims

This is a remote position.