Job Details
Job Details
Job Location
Cullman Regional Medical Center - Cullman, AL
Position Type
Full Time
Job Shift
Day
Description
Biller
Summary:
- Works claims daily, to resolve outstanding claims. May include, but not limited to, application of modifiers, creating split bills, combining bills, etc.
- Manages bill holds and releases as appropriate. Notifies supervisor of problems accounts.
- Works and completes daily, weekly, and monthly reports as appropriate.
- Monitors claim errors and rejections for ongoing trends, documents them and bring examples to management to determine how to resolve.
- Works and corrects payer rejections daily.
- Reviews hold work cue to identify any claims that can be corrected and moved to billing status.
- Works with IS "partner" to identify and implement bills edits that will increase clean claim percentage.
- Accurately and thoroughly documents all pertinent events regarding the handling of the account.
- Demonstrates and encourages team behavior and exceptional patient/guest experiences.
- Upholds and promotes patient safety and quality.
QualificationsMinimum Knowledge, Skills, Experience Required Education: High school diploma or equivalent required.
Experience: 3 years of hospital business office or physician office preferred.
Additional Skills / Abilities: Must be proficient in Microsoft Office suite of products. Knowledge of ICD-10, CPT/HCPCS, Revenue codes and modifiers is required. Familiarity with payer website and portals is preferred.