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Biller / Collector - Grants New Mexico
Company: Cibola General Hospital Location: Grants, New Mexico
Posted On: 04/27/2024
Hybrid work status (meaning a minimum of 3 days must be worked in office per week at the completion of proper training and discretion of the Patient Financial Director regarding independent workability). JOB SUMMARY Provides billing and collections on behalf of the patient for all of the following: Medicare, Medicaid, Commercial insurance, any government agencies, and all third-party liability claims. Responsible for tracking multiple insurances to resolve any unpaid balances. Assists patients/families with financial arrangements, including financial assistance, for qualified patients from outside agencies. PRIMARY FUNCTIONS - Maintain and audit accounts receivables/credits over 45 days old monthly, documenting notes for productivity.
- Work on 30 accounts per day or an average of 150 per week.
- Communicate effectively with billing staff for improvements in billing primary and secondary claims.
- Review insurance EOBs for potential processing errors.
- Respond to denials and requests/correspondence within a two-day timeframe.
- Ensure accurate designation of balances between insurance and patients.
- Assist patients with inquiries over the phone or in person.
- Respond to audits and regulatory inquiries.
- Research credit balances for assigned insurances.
- Educate other staff on assigned payers.
- Serve as the representative for specific payers for the organization.
- Answer patient questions regarding statements or billing inquiries.
- Effective communications with other departments for timely corrections
- Other duties as assigned
EDUCATION AND EXPERIENCE - High school degree or GED;
- One to three years data entry and billing and claims experience in healthcare setting or billing externship. Education or knowledge may be substituted for the experience requirement
- Experience in a multispecialty clinic setting.
PREFERRED LICENSE/CERIFICATIONS - Billing Certificate, the result of graduation from a certified billing school;
- Coder and/or Billing Certificate may be substituted with demonstrated proficient knowledge of healthcare billing processes.
KNOWLEDGE, SKILLS, AND ABILITIES |
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