About this role
Job Summary:
- Works the XClaim billing platform daily to resolve outstanding claims. This may include, but is not limited to, application of modifiers, creating split bill, combining claims, etc. Works additional hours as needed during "drop dead" period.
- Manages bill hold and bill releases as instructed. Notifies appropriate supervisory personnel of problem accounts.
- Begins the pre-cert initiation process for case management and sends notifications as appropriate.
- Completes monthly contract billing, including posting of payments and resolution of unpaid accounts.
- Works and completes daily, weekly and monthly reports.
- Accurately and thoroughly documents pertinent events regarding the handling of the account, including research of prior accounts.
- Demonstrates and encourages team behavior and exceptional patient/guest experiences.
- Upholds and promotes patient safety and quality.
Qualifications
Education:
High school diploma required.
Experience:
Minimum three years' medical billing office experience required. Must be proficient in Microsoft Office Suite of products. Knowledge of CPT codes, ICD-9 and ICD-10 codes, revenue codes and appropriate use of modifiers required. Computer experience required.
Additional Skills/Abilities:
XClaim billing platform helpful but not required. Knowledge of payor reimbursement methodology preferred.