Medical Billing Specialist
3.
5 Glasgow, KY Glasgow, KY Full-time Full-time Estimated:
$30.
8K - $39K a year Estimated:
$30.
8K - $39K a year Description:
JOB SUMMARY 7:
30-4 The purpose of this position is to help in rendering service to the patient population.
The Medical Billing Specialist must be flexible and able to multi-task.
The position must also be knowledgeable as to how their job functions are integrated with the other members of the staff to produce a coordinated effort and insure teamwork.
Requirements:
JOB REQUIREMENTS Minimum Education High School Diploma or equivalent is required.
Minimum Work Experience Prior hospital business office, physician office or insurance company claims processing required.
Excellent phone communication skills required Computer skills required.
Typing skills required Must be very detail oriented FUNCTIONAL DEMANDS Physical Requirements Sitting - 32% Walking - 1-15% Standing - 1-15% Bending/Squatting - 1-15% Climbing/Kneeling - 1-15% Twisting - 1-15% OSHA Category Minimal potential for direct exposures.
Visual and Hearing Requirements Must be able to see with corrective eye wear.
Must be able to hear clearly with assistance.
Other Physical/Environmental Demands Lifting - 0-50lbs, 50lbs or more with assistance Carrying - 0-50lbs, 50lbs or more with assistance Pulling - up to 100lbs Pushing - up to 100lbs ESSENTIAL FUNCTIONS Assist patients in obtaining payment for services rendered.
Provide positive customer service to the patients.
Works edits in the Soarian and Quadax Computer systems and releases claims to be transmitted electronically.
Print and mail paper claims with needed documentation such as itemized statements and/or medical records.
Monitor unbilled claims in Quadax.
Update insurance information as needed.
Reviews accuracy of system edits and recommends changes.
Demonstrate competency in utilizing the various computer systems and programs within the Business Office.
Monitors the data quality obtained by Patient Access representatives Bills secondary payors with documentation of primary payment.
Collaborates with other departments when necessary - Medical Records and Information Systems in particular.
Documents actions performed on each patient account appropriately.
Participated in payor education programs and meets on site with payor representatives.
Places calls to insurance companies and determines reason for claim not being paid.
Determine what is required to approve claims for payment.
Work assigned worklist in a timely manner.
Visits insurance company web sites to determine claim status.
Provides data required by insurance company to process claims, including rebilling primary and/or secondary claims.
Submit requests for contractual adjustments as needed based on review of accounts.
ORGANIZATIONAL EXPECTATIONS T.
J.
Pledge I Will Show Compassion see all patients, family members, coworkers, physicians, and anyone else at T.
J.
as my customer.
recognize that each and every interaction I have at T.
J.
Regional Health matters show kindness and compassion towards my customers at all times be sensitive to the personal and private needs of every customer I Will Cooperate With Others maintain zero tolerance for abusive behavior listen and be willing to accept fault when I make a mistake never underestimate the power of an apology refrain from blame and judgment bring a sense of calm to stressful situations I Will Collaborate With Others value myself and every coworker as an equal part of one GREAT team working together treat others in a way that I would like to be treated participate only in conversations that are courteous, respectful, and reflect positively on my teammates and T.
J.
Regional Health foster a calm and pleasant atmosphere, and refrain from gossip, rumors, and insults speak honestly, seek truth, and act with integrity towards my teammates value the uniqueness and expertise that each team member contributes to the whole meet the need of the moment, regardless of whether or not it is considered part of my job I Will Communicate -smile - at everyone always introduce myself, my role, and my purpose use body language, eye contact, and tone of voice that shows respect in every interaction follow the 10/5 rule:
always acknowledging people at 10 feet away with a smile and always greeting people at 5 feet away escort any customer in need (visitors, patients) to their destination I Will Adapt To Change be a part of the solution when I am presented with a challenge embrace change and set the example for those around me accept openly when there are changes that T.
J.
Regional and/or I have no control over manage the expectations of others by explaining duration and next steps as often as needed I Will Be A Champion serve with passion view myself as an owner of T.
J.
Regional Health and act accordingly take responsibility for the physical appearance of T.
J.
Regional Health, including my work area go out of my way to daily thank and compliment my customers and coworkers dare to make a difference and be exceptional constantly try to improve myself and T.
J.
Regional Health speak positively about T.
J.
Regional, while at work and in public places outside of work High School Diploma or equivalent is required.
Prior hospital business office, physician office or insurance company claims processing required.
Excellent phone communication skills required Computer skills required.
Typing skills required Must be very detail oriented Assist patients in obtaining payment for services rendered.
Provide positive customer service to the patients.
Works edits in the Soarian and Quadax Computer systems and releases claims to be transmitted electronically.
Print and mail paper claims with needed documentation such as itemized statements and/or medical records.
Monitor unbilled claims in Quadax.
Update insurance information as needed.
Reviews accuracy of system edits and recommends changes.
Demonstrate competency in utilizing the various computer systems and programs within the Business Office.
Monitors the data quality obtained by Patient Access representatives Bills secondary payors with documentation of primary payment.
Collaborates with other departments when necessary - Medical Records and Information Systems in particular.
Documents actions performed on each patient account appropriately.
Participated in payor education programs and meets on site with payor representatives.
Places calls to insurance companies and determines reason for claim not being paid.
Determine what is required to approve claims for payment.
Work assigned worklist in a timely manner.
Visits insurance company web sites to determine claim status.
Provides data required by insurance company to process claims, including rebilling primary and/or secondary claims.
Submit requests for contractual adjustments as needed based on review of accounts.
see all patients, family members, coworkers, physicians, and anyone else at T.
J.
as my customer.
recognize that each and every interaction I have at T.
J.
Regional Health matters show kindness and compassion towards my customers at all times be sensitive to the personal and private needs of every customer maintain zero tolerance for abusive behavior listen and be willing to accept fault when I make a mistake never underestimate the power of an apology refrain from blame and judgment bring a sense of calm to stressful situations value myself and every coworker as an equal part of one GREAT team working together treat others in a way that I would like to be treated participate only in conversations that are courteous, respectful, and reflect positively on my teammates and T.
J.
Regional Health foster a calm and pleasant atmosphere, and refrain from gossip, rumors, and insults speak honestly, seek truth, and act with integrity towards my teammates value the uniqueness and expertise that each team member contributes to the whole meet the need of the moment, regardless of whether or not it is considered part of my job always introduce myself, my role, and my purpose use body language, eye contact, and tone of voice that shows respect in every interaction follow the 10/5 rule:
always acknowledging people at 10 feet away with a smile and always greeting people at 5 feet away escort any customer in need (visitors, patients) to their destination be a part of the solution when I am presented with a challenge embrace change and set the example for those around me accept openly when there are changes that T.
J.
Regional and/or I have no control over manage the expectations of others by explaining duration and next steps as often as needed serve with passion view myself as an owner of T.
J.
Regional Health and act accordingly take responsibility for the physical appearance of T.
J.
Regional Health, including my work area go out of my way to daily thank and compliment my customers and coworkers dare to make a difference and be exceptional constantly try to improve myself and T.
J.
Regional Health speak positively about T.
J.
Regional, while at work and in public places outside of work.
Estimated Salary: $20 to $28 per hour based on qualifications.
5 Glasgow, KY Glasgow, KY Full-time Full-time Estimated:
$30.
8K - $39K a year Estimated:
$30.
8K - $39K a year Description:
JOB SUMMARY 7:
30-4 The purpose of this position is to help in rendering service to the patient population.
The Medical Billing Specialist must be flexible and able to multi-task.
The position must also be knowledgeable as to how their job functions are integrated with the other members of the staff to produce a coordinated effort and insure teamwork.
Requirements:
JOB REQUIREMENTS Minimum Education High School Diploma or equivalent is required.
Minimum Work Experience Prior hospital business office, physician office or insurance company claims processing required.
Excellent phone communication skills required Computer skills required.
Typing skills required Must be very detail oriented FUNCTIONAL DEMANDS Physical Requirements Sitting - 32% Walking - 1-15% Standing - 1-15% Bending/Squatting - 1-15% Climbing/Kneeling - 1-15% Twisting - 1-15% OSHA Category Minimal potential for direct exposures.
Visual and Hearing Requirements Must be able to see with corrective eye wear.
Must be able to hear clearly with assistance.
Other Physical/Environmental Demands Lifting - 0-50lbs, 50lbs or more with assistance Carrying - 0-50lbs, 50lbs or more with assistance Pulling - up to 100lbs Pushing - up to 100lbs ESSENTIAL FUNCTIONS Assist patients in obtaining payment for services rendered.
Provide positive customer service to the patients.
Works edits in the Soarian and Quadax Computer systems and releases claims to be transmitted electronically.
Print and mail paper claims with needed documentation such as itemized statements and/or medical records.
Monitor unbilled claims in Quadax.
Update insurance information as needed.
Reviews accuracy of system edits and recommends changes.
Demonstrate competency in utilizing the various computer systems and programs within the Business Office.
Monitors the data quality obtained by Patient Access representatives Bills secondary payors with documentation of primary payment.
Collaborates with other departments when necessary - Medical Records and Information Systems in particular.
Documents actions performed on each patient account appropriately.
Participated in payor education programs and meets on site with payor representatives.
Places calls to insurance companies and determines reason for claim not being paid.
Determine what is required to approve claims for payment.
Work assigned worklist in a timely manner.
Visits insurance company web sites to determine claim status.
Provides data required by insurance company to process claims, including rebilling primary and/or secondary claims.
Submit requests for contractual adjustments as needed based on review of accounts.
ORGANIZATIONAL EXPECTATIONS T.
J.
Pledge I Will Show Compassion see all patients, family members, coworkers, physicians, and anyone else at T.
J.
as my customer.
recognize that each and every interaction I have at T.
J.
Regional Health matters show kindness and compassion towards my customers at all times be sensitive to the personal and private needs of every customer I Will Cooperate With Others maintain zero tolerance for abusive behavior listen and be willing to accept fault when I make a mistake never underestimate the power of an apology refrain from blame and judgment bring a sense of calm to stressful situations I Will Collaborate With Others value myself and every coworker as an equal part of one GREAT team working together treat others in a way that I would like to be treated participate only in conversations that are courteous, respectful, and reflect positively on my teammates and T.
J.
Regional Health foster a calm and pleasant atmosphere, and refrain from gossip, rumors, and insults speak honestly, seek truth, and act with integrity towards my teammates value the uniqueness and expertise that each team member contributes to the whole meet the need of the moment, regardless of whether or not it is considered part of my job I Will Communicate -smile - at everyone always introduce myself, my role, and my purpose use body language, eye contact, and tone of voice that shows respect in every interaction follow the 10/5 rule:
always acknowledging people at 10 feet away with a smile and always greeting people at 5 feet away escort any customer in need (visitors, patients) to their destination I Will Adapt To Change be a part of the solution when I am presented with a challenge embrace change and set the example for those around me accept openly when there are changes that T.
J.
Regional and/or I have no control over manage the expectations of others by explaining duration and next steps as often as needed I Will Be A Champion serve with passion view myself as an owner of T.
J.
Regional Health and act accordingly take responsibility for the physical appearance of T.
J.
Regional Health, including my work area go out of my way to daily thank and compliment my customers and coworkers dare to make a difference and be exceptional constantly try to improve myself and T.
J.
Regional Health speak positively about T.
J.
Regional, while at work and in public places outside of work High School Diploma or equivalent is required.
Prior hospital business office, physician office or insurance company claims processing required.
Excellent phone communication skills required Computer skills required.
Typing skills required Must be very detail oriented Assist patients in obtaining payment for services rendered.
Provide positive customer service to the patients.
Works edits in the Soarian and Quadax Computer systems and releases claims to be transmitted electronically.
Print and mail paper claims with needed documentation such as itemized statements and/or medical records.
Monitor unbilled claims in Quadax.
Update insurance information as needed.
Reviews accuracy of system edits and recommends changes.
Demonstrate competency in utilizing the various computer systems and programs within the Business Office.
Monitors the data quality obtained by Patient Access representatives Bills secondary payors with documentation of primary payment.
Collaborates with other departments when necessary - Medical Records and Information Systems in particular.
Documents actions performed on each patient account appropriately.
Participated in payor education programs and meets on site with payor representatives.
Places calls to insurance companies and determines reason for claim not being paid.
Determine what is required to approve claims for payment.
Work assigned worklist in a timely manner.
Visits insurance company web sites to determine claim status.
Provides data required by insurance company to process claims, including rebilling primary and/or secondary claims.
Submit requests for contractual adjustments as needed based on review of accounts.
see all patients, family members, coworkers, physicians, and anyone else at T.
J.
as my customer.
recognize that each and every interaction I have at T.
J.
Regional Health matters show kindness and compassion towards my customers at all times be sensitive to the personal and private needs of every customer maintain zero tolerance for abusive behavior listen and be willing to accept fault when I make a mistake never underestimate the power of an apology refrain from blame and judgment bring a sense of calm to stressful situations value myself and every coworker as an equal part of one GREAT team working together treat others in a way that I would like to be treated participate only in conversations that are courteous, respectful, and reflect positively on my teammates and T.
J.
Regional Health foster a calm and pleasant atmosphere, and refrain from gossip, rumors, and insults speak honestly, seek truth, and act with integrity towards my teammates value the uniqueness and expertise that each team member contributes to the whole meet the need of the moment, regardless of whether or not it is considered part of my job always introduce myself, my role, and my purpose use body language, eye contact, and tone of voice that shows respect in every interaction follow the 10/5 rule:
always acknowledging people at 10 feet away with a smile and always greeting people at 5 feet away escort any customer in need (visitors, patients) to their destination be a part of the solution when I am presented with a challenge embrace change and set the example for those around me accept openly when there are changes that T.
J.
Regional and/or I have no control over manage the expectations of others by explaining duration and next steps as often as needed serve with passion view myself as an owner of T.
J.
Regional Health and act accordingly take responsibility for the physical appearance of T.
J.
Regional Health, including my work area go out of my way to daily thank and compliment my customers and coworkers dare to make a difference and be exceptional constantly try to improve myself and T.
J.
Regional Health speak positively about T.
J.
Regional, while at work and in public places outside of work.
Estimated Salary: $20 to $28 per hour based on qualifications.
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