Job Summary
Under general supervision of the AR Supervisor, the AR Biller is responsible for billing and follow up on all accounts generated from services rendered by departments and medical groups within MVHS.
Core Job Responsibilities
Submit all inpatient, outpatient, and professional claims, according to state and federal requirements, to appropriate insurance carriers for processing and reimbursement
Maintain system work queues so accounts do not age beyond 14 days for initial billing and 30 days for follow up
Review of payments received to ensure claims are paid appropriately as per contractual agreements
Prepare and submit appeals and reconsiderations when claims are denied, underpaid, or overpaid
Research and work with other departments, when necessary, to obtain information necessary to resolve claim edits and denials
Calculate and post necessary claim adjustments
Review and work audits and all correspondence related to billing and follow up
Maintain good working relationship with internal departments, as well as with all third party insurance carriers
Perform other duties as required
Education/Experience Requirements
Required:
High school graduate or GED
2 years of work experience
Preferred:
Associates Degree in a healthcare or business related field,
5 years of work experience
Medical office experience
Licensure/Certification Requirements
Disclaimer
Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.
Successful candidates might be required to undergo a background verification with an external vendor.
Job Details
Req Id 87125
Department PATIENT ACCOUNTS
Shift Days
Shift Hours Worked 7.
50
FTE 1
Work Schedule SEMC OVERTIME AFTER 40 HOURS
Employee Status A1 - Full-Time
Union Non-Union
Pay Range $17 - $22 Hourly
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