Primary Biller Greenville at Hunt Memorial Hospital District
Hunt Memorial Hospital District · Greenville, United States Of America · Onsite
- Junior
- Office in Greenville
POSITION SUMMARY
⦁ Responsibilities include reviewing and completing all primary, secondary and tertiary claims to include rebills and late charge claims, and working payer edits in Cerner and SSI in a timely manner. Confirm all information submitted is compliant and follows federal and state regulations.
POSITION SUPERVISORY RESPONSIBILITIES
⦁ Reports To:
⦁ Manager, Billing
⦁ Supervises:
⦁ None
POSITION REQUIREMENTS
⦁ Minimum Education
⦁ High School graduate or equivalent.
⦁ Minimum Work Experience
⦁ Less than one (1) to two (2) years' experience with hospital (UB)/physician (1500) billing with third party payers in a hospital, insurance or physician office environment. Prior experience involving public contact.
⦁ Required Licenses/Certifications
⦁ None
⦁ Required Skills, Knowledge, and Abilities
⦁ Ability to interpret and generate written correspondence utilizing proper grammar, spelling and composition skills. Knowledge of Medicare and/or Medicaid guidelines. Computer knowledge. Ability to operate office equipment, such as copy machines, fax machine and printers. Must be able to work independently with minimal supervision. Good communication skills essential.
⦁ Preferred Qualification
⦁ Some college. Experience processing commercial and managed care claims. Experience with automated systems. Medical terminology.
PHYSICAL REQUIREMENTS
⦁ Light work, exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and negligible amount of force constantly to move objects. Involves sitting for long periods of time. Occasionally requires standing, walking, bending, stooping, reaching, lifting, pushing and pulling. Requires near and midrange vision, talking, hearing, repetitive movement of wrists, hands and fingers. Requires viewing computer screens for extended periods. The incumbent works in a good environment under clean working conditions; one or more disagreeable elements may be present to a small degree from time to time. There is potential for exposure to contagious diseases from patient contact but these will be minimal if proper safety precautions are taken.
JOB SPECIFIC FUNCTIONS
1. Demonstrates an understanding of and adherence to the HMHD Compliance Plan.
2. Conduct reflects HMHD's values and a commitment to HMHD's Code of Conduct.
3. Attends the required corporate integrity and compliance training and education programs.
4. Demonstrates proficiency in understanding the materials presented during the corporate integrity and compliance training and education program.
5. Complies with all HIPAA standards.
6. Demonstrates working knowledge of appropriate operating systems, to include, but not limited to Cerner and SSI.
7. Review incoming bulletins from governmental payers, and share with appropriate personnel.
8. Retrieve medical records, when applicable and mail to payer in a timely manner.
9. Work in tandem with other departments i.e. HIM (Medical Records) to ensure that requests are complete for claim submission.
10. Process and complete assigned bills within 48 hours of receipt.
11. Complete required Confirmation Acceptance Reports, and Transmittal reports on a daily basis.
12. Review and complete reminders consistently, and in a timely manner.
13. Enter accurate and thorough comments on patient accounts, when applicable.
14. Resolve issues and/or concerns amicably in a timely manner. Involves PFS Leader when needed.
15. Promote and demonstrate excellent customer service at all times with internal and external customers to include patients, physicians, co-workers and all other customers.
16. Communicates effectively and expresses ideas clearly, actively listens and follows appropriate channels of communication.
17. Adaptable and responsive to change.
18. Uses time clock accurately and is punctual on a consistent basis.
19. Demonstrates a positive attitude in all assigned task and towards others.
20. Follows "Call-In" policy by notifying PFS Leader of absence.
21. Absences during evaluation period: 0-6 Occurrences = Meets Requirements. 7 or more Occurrences = Does not meet requirements.
22. Adheres to hospital and department dress code. Maintains a professional appearance at all times.
23. Consistently contributes to the achievement of excellence in healthcare through the quality and caring values of the mission and vision of Hunt Memorial Hospital District.
24. Perform special duties and projects as assigned.
Apply Now
⦁ Responsibilities include reviewing and completing all primary, secondary and tertiary claims to include rebills and late charge claims, and working payer edits in Cerner and SSI in a timely manner. Confirm all information submitted is compliant and follows federal and state regulations.
POSITION SUPERVISORY RESPONSIBILITIES
⦁ Reports To:
⦁ Manager, Billing
⦁ Supervises:
⦁ None
POSITION REQUIREMENTS
⦁ Minimum Education
⦁ High School graduate or equivalent.
⦁ Minimum Work Experience
⦁ Less than one (1) to two (2) years' experience with hospital (UB)/physician (1500) billing with third party payers in a hospital, insurance or physician office environment. Prior experience involving public contact.
⦁ Required Licenses/Certifications
⦁ None
⦁ Required Skills, Knowledge, and Abilities
⦁ Ability to interpret and generate written correspondence utilizing proper grammar, spelling and composition skills. Knowledge of Medicare and/or Medicaid guidelines. Computer knowledge. Ability to operate office equipment, such as copy machines, fax machine and printers. Must be able to work independently with minimal supervision. Good communication skills essential.
⦁ Preferred Qualification
⦁ Some college. Experience processing commercial and managed care claims. Experience with automated systems. Medical terminology.
PHYSICAL REQUIREMENTS
⦁ Light work, exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and negligible amount of force constantly to move objects. Involves sitting for long periods of time. Occasionally requires standing, walking, bending, stooping, reaching, lifting, pushing and pulling. Requires near and midrange vision, talking, hearing, repetitive movement of wrists, hands and fingers. Requires viewing computer screens for extended periods. The incumbent works in a good environment under clean working conditions; one or more disagreeable elements may be present to a small degree from time to time. There is potential for exposure to contagious diseases from patient contact but these will be minimal if proper safety precautions are taken.
JOB SPECIFIC FUNCTIONS
1. Demonstrates an understanding of and adherence to the HMHD Compliance Plan.
2. Conduct reflects HMHD's values and a commitment to HMHD's Code of Conduct.
3. Attends the required corporate integrity and compliance training and education programs.
4. Demonstrates proficiency in understanding the materials presented during the corporate integrity and compliance training and education program.
5. Complies with all HIPAA standards.
6. Demonstrates working knowledge of appropriate operating systems, to include, but not limited to Cerner and SSI.
7. Review incoming bulletins from governmental payers, and share with appropriate personnel.
8. Retrieve medical records, when applicable and mail to payer in a timely manner.
9. Work in tandem with other departments i.e. HIM (Medical Records) to ensure that requests are complete for claim submission.
10. Process and complete assigned bills within 48 hours of receipt.
11. Complete required Confirmation Acceptance Reports, and Transmittal reports on a daily basis.
12. Review and complete reminders consistently, and in a timely manner.
13. Enter accurate and thorough comments on patient accounts, when applicable.
14. Resolve issues and/or concerns amicably in a timely manner. Involves PFS Leader when needed.
15. Promote and demonstrate excellent customer service at all times with internal and external customers to include patients, physicians, co-workers and all other customers.
16. Communicates effectively and expresses ideas clearly, actively listens and follows appropriate channels of communication.
17. Adaptable and responsive to change.
18. Uses time clock accurately and is punctual on a consistent basis.
19. Demonstrates a positive attitude in all assigned task and towards others.
20. Follows "Call-In" policy by notifying PFS Leader of absence.
21. Absences during evaluation period: 0-6 Occurrences = Meets Requirements. 7 or more Occurrences = Does not meet requirements.
22. Adheres to hospital and department dress code. Maintains a professional appearance at all times.
23. Consistently contributes to the achievement of excellence in healthcare through the quality and caring values of the mission and vision of Hunt Memorial Hospital District.
24. Perform special duties and projects as assigned.
