Process primary and secondary claims electronically or in paper format with complete information to reduce denials and maximize reimbursement. The role handles claim scrubber edits, denials, accounts receivable reports, payment posting, appeals, patient account reconciliation, and adjustment preparation. This position also communicates with patients regarding accounts and insurance issues and supports the Business Office team as needed.
Requirements & Qualifications
Qualifications
- High school diploma or equivalent
- At least 1 year of billing experience in a hospital or clinic setting
- Working knowledge of:
- CPT, ICD-9, and ICD-10 codes
- Revenue codes
- Follow-up for all insurance payers
- UB and HCFA billing
- Critical Access Hospital (CAH) and Rural Health Clinic billing
- Effective communication skills with co-workers, insurance companies, and patients
Working Conditions
- Office setting with patient interaction
- Potential exposure to blood, body fluids, or tissues
- Ability to sit at a computer keyboard, walk, lift, reach, coordinate hand-eye movements, speak, and work overtime or weekend shifts when needed
Location
Idaho, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
2 months ago
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