Billing Representative Job at Essentia Health
At Essentia Health, our team members are on the front lines of our patient experience. Essentia Employees are driven by our mission, vision and values, and we strive to provide patient care like nowhere else in an environment that promotes personal and professional growth. Grow your career at Essentia Health.
Job Description:
- Processes paper and electronic claims to payers with full and complete information to satisfy and facilitate the claim for payment.
- Produces accurate and timely claims in order to prevent denials and maximize reimbursement.
- Responsible for working assigned work queues within the patient accounting system and claim scrubber edits prior to final submission.
- Responsible for optimizing the claim submission operations including prospectively reviewing submissions and making corrections to expedite first time payment to the extent possible.
- He/ she is also responsible for research and communication of payer, HIPAA or other regulatory changes affecting the billing of health insurance claims and making recommendations regarding billing and system operations to improve payment turnaround.
- This position works closely with insurance companies, credentialing, access and managed care and other internal and external stakeholders tied to the billing system.
- Makes recommendations regarding system changes to improve the revenue cycle process and quality, and works to assist in the development of training.
- Position requires high level of customer service skills to establish and enhance positive relationships with patients, colleagues, and others.
- Depending upon location responsibilities may vary and may include a variety of duties of similar scope and responsibility.
Education Qualifications:
- None
Work Experience:
- 1 year of healthcare experience in healthcare billing, revenue services, or coding- medical certification or degree.
Licensure/Certification Qualifications:
Basic Life Support (BLS) within 30 days of hire.
Job Type: Full-time
Pay: $15.61 - $23.42 per hour
Schedule:
- Day shift
Education:
- High school or equivalent (Preferred)
Experience:
- healthcare billing or revenue services: 1 year (Preferred)
License/Certification:
- coding- medical certification (Preferred)
Work Location: One location
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