Homeoffice Central Business Office Specialist Remote bei ClearSky Health
ClearSky Health · Albuquerque, New Mexico, US, Vereinigte Staaten Von Amerika · Remote
- Junior
The Business Office Specialist position is responsible for the daily activities of the central business office accounts receivable, which include the preparation, submission and collection of insurance claims, Medicare/Medicaid billing, third party payer billing, and payment posting.
Must have: hospital billing, collections, Medicare and commercial health care insurance experience.
- Prepares, processes, and files accurate and timely insurance claims for all payer types in accordance with department policy and payer requirements.
- Analyzes, interprets, and resolves all billing edits to ensure claims are filed accurately within the payer's regulations and filing limits.
- Adheres to compliance and regulatory rules as mandated by CMS, state and federal regulations, payer contracts, and established department policies and procedures.
- Processes and monitors all refunds, adjustments, corrections, etc.
- Monitors compliance of proper billing practices in accordance with federal, state, local standards, guidelines, and regulations.
- Prepares end of day, month and year to comply with financial policy and procedures.
- Handles correspondence related to the billing of a claim for all lines of business, answers questions and updates accounts as necessary.
- Assists in cost containment development of the department within budgeted parameters; reviews bad debt activity.
- Accurately posts payments to Patient Accounts.
- Oversees monthly cash reconciliations and reporting.
- Updates and reviews all accounts to keep records up to date, follow up with payer on unpaid claims.
- Resolves denials, appeals, and other payer issues, works with hospital personnel when required.