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Job: Billing Representative

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Posted: 06/08/2017

Job Reference #: 1702462

Job Description


JOB SUMMARY:
Under the direct supervision of the Billing Manager, the Biller is responsible for submitting claims to all payors on a daily basis for St. Joseph Medical Center campuses.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Bill UB92 / UB04 Government and Non-Government claims for St. Joseph Medical Center campuses on a daily basis.
  • Paper and electronic billing.
  • Monitor and bill claims according the 72 hour rule.
  • Held Claims - ensure all claims held in the billing editor are resolved and billed daily.
  • Comply with billing procedures in order to manager Electronic Rejects, Rebills, and Late Charges on a daily basis.
  • Complete split billing, as appropriate.
  • Obtain documents to be submitted with claims on a timely basis (ie; implant invoices, medical record, etc)
  • Coordinate with the Billing Manager to escalate coding issues, modifiers, etc. through Health Information Management.
  • Understand the CWF (Common Working File) and correct claims when needed.
  • Certified mail processing for paper claims.
  • Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement."
  • Other duties as assigned.
  • Supportive of the compliance program set forth by IASIS Healthcare and demonstrated by:
  • Upholds the Code of Ethics and Corporate Compliance.
  • Adheres to and helps to enforce all compliance policies relevant to his/her area.
  • Assures timely compliance education as requested by the Regional Compliance and Safety Officer and/or through corporate initiatives.
  • Sets an example to all staff in their daily activities.


Qualifications

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
  • Communication - communicates clearly and concisely, verbally and in writing.
  • Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
  • Interpersonal skills - able to work effectively with other employees, patients and external parties.
  • PC skills - demonstrates proficiency in PC applications as required.
  • Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems.
  • Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately.

EDUCATION & TRAINING:
HS Diploma or GED equivalent

LICENSE/REGISTRATION/CERTIFICATION:
None

WORK EXPERIENCE:
  • Minimum of one year UB billing
  • Knowledge of Medicare regulations preferred.

EQUAL OPPORTUNITY EMPLOYER MINORITIES / WOMEN / VETERANS / DISABLED

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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