The job below is no longer available.
Claims Specialist Medical Biller Independence Job (Independence, OH, US) - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Independence, Ohio |
About this job
Acct Rep II
Reference Title
HR Use Only: Claims Specialist Medical Biller Independence
Hospital: Main Campus Non-Exempt
Facility: CC Business Operations Ctr
Department: Rcm Billing
Job Code: B15021
Pay Grade: 4
Schedule: Full Time
Shift: Days
Hours:
Job Details: - High School Diploma or equivalent Required.
You are submitting your application for Account Representative II opportunities that are available at our Business Operations Center in Independence Ohio. All positions are full time and offer medical benefits and paid time off.
The Team Offers:
- Flexible work hours after a 90-day, full-time training period.
- If after one year of employment, you meet productivity, quality and other performance metrics, you may be able to work from home
Physical Requirements: Sit at desk and key on PC. Must be able to operate and tolerate a headset.
JOB SUMMARY : Under the direction of the supervisor, performs a specific operational responsibility within a functional unit within Revenue Cycle Management. These responsibilities include customer service, insurance billing and follow-up processes for commercial and government payers, insurance verification, cash application, credit balance resolution and/or account reconciliation.Recommends and executes policies and procedures in conjunction with the supervisor to insure the timely resolution of patient service and third party reimbursement issues to foster an environment of total customer responsiveness. Provides input to management obtained from various insurance companies, outside agencies and patients regarding reimbursement and customer service related issues. Recommends and provides input to execute changes to customer service programs in accordance with changes in insurance regulations from data obtained from various groups. Provides information to supervisor to assist the department liaison with various departments/physicians in regards to various issues including diagnosis coding. Complies and assists with the implementation of management reporting systems to insure accurate and timely reporting of department goals and results. Assists with the development, implementation and execution of a quality control program for the timely and accurate resolution of patient and insurance inquiries. Other duties as assigned.
EDUCATION: High School Diploma or GED required. An Associate's degree may offset one year of the experience requirement. A Bachelor's degree may offset the two year experience requirement.
LICENSURE/CERTIFICATION/REGISTRATION: None
COMPLEXITY OF WORK: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
REQUIRED EXPERIENCE: Minimum two years of experience in a patient account or financial environment. An Associate's degree may offset one year of the experience requirement. A Bachelor's degree may offset the two year experience requirement. Knowledge of patient accounts which includes customer service, insurance processing, insurance verification and cash application. Knowledge of additional specialized function may be required such as third party payors, Medicare processing, hospital and physician billing and pricing, CPT4/ICD code application. Must have excellent verbal and communication skills.
PHYSICAL REQUIREMENTS: Manual dexterity to operate office equipment. May require periods of sitting, standing and the ability to walk to various locations throughout the Foundation to attend meetings; must have normal or correction vision to clearly communicate verbally by phone or in person.
PERSONAL PROTECTIVE EQUIPMENT: Follows standard precautions using personal protective equipment as required.
MEDICAL STAFF APPROVAL:
#LI-NB1
Category: Finance/Information Systems
Reference Title
HR Use Only: Claims Specialist Medical Biller Independence
Hospital: Main Campus Non-Exempt
Facility: CC Business Operations Ctr
Department: Rcm Billing
Job Code: B15021
Pay Grade: 4
Schedule: Full Time
Shift: Days
Hours:
Job Details: - High School Diploma or equivalent Required.
You are submitting your application for Account Representative II opportunities that are available at our Business Operations Center in Independence Ohio. All positions are full time and offer medical benefits and paid time off.
The Team Offers:
- Flexible work hours after a 90-day, full-time training period.
- If after one year of employment, you meet productivity, quality and other performance metrics, you may be able to work from home
Physical Requirements: Sit at desk and key on PC. Must be able to operate and tolerate a headset.
JOB SUMMARY : Under the direction of the supervisor, performs a specific operational responsibility within a functional unit within Revenue Cycle Management. These responsibilities include customer service, insurance billing and follow-up processes for commercial and government payers, insurance verification, cash application, credit balance resolution and/or account reconciliation.Recommends and executes policies and procedures in conjunction with the supervisor to insure the timely resolution of patient service and third party reimbursement issues to foster an environment of total customer responsiveness. Provides input to management obtained from various insurance companies, outside agencies and patients regarding reimbursement and customer service related issues. Recommends and provides input to execute changes to customer service programs in accordance with changes in insurance regulations from data obtained from various groups. Provides information to supervisor to assist the department liaison with various departments/physicians in regards to various issues including diagnosis coding. Complies and assists with the implementation of management reporting systems to insure accurate and timely reporting of department goals and results. Assists with the development, implementation and execution of a quality control program for the timely and accurate resolution of patient and insurance inquiries. Other duties as assigned.
EDUCATION: High School Diploma or GED required. An Associate's degree may offset one year of the experience requirement. A Bachelor's degree may offset the two year experience requirement.
LICENSURE/CERTIFICATION/REGISTRATION: None
COMPLEXITY OF WORK: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
REQUIRED EXPERIENCE: Minimum two years of experience in a patient account or financial environment. An Associate's degree may offset one year of the experience requirement. A Bachelor's degree may offset the two year experience requirement. Knowledge of patient accounts which includes customer service, insurance processing, insurance verification and cash application. Knowledge of additional specialized function may be required such as third party payors, Medicare processing, hospital and physician billing and pricing, CPT4/ICD code application. Must have excellent verbal and communication skills.
PHYSICAL REQUIREMENTS: Manual dexterity to operate office equipment. May require periods of sitting, standing and the ability to walk to various locations throughout the Foundation to attend meetings; must have normal or correction vision to clearly communicate verbally by phone or in person.
PERSONAL PROTECTIVE EQUIPMENT: Follows standard precautions using personal protective equipment as required.
MEDICAL STAFF APPROVAL:
#LI-NB1
Category: Finance/Information Systems