Insurance Biller- 813050
Company: Christus Health
Location: Alamogordo
Posted on: September 25, 2024
Job Description:
Description
- Submits all clean claims to the appropriate insurance payer the
same day as the claim is loaded into the Editor with the exception
of weekends.
- Reviews payer EOB's but not limited to payment accuracy,
patient liability, and appeal grievances if applicable.
- Files appeals on denied claims and/or forwards to the Nurse
Auditor for review if applicable
- Maintain better than an 80% clean claim average.
- Attach but not limited to the medical records, implant
invoices, and itemized bill to the claim when applicable
- Process incoming mail correspondence from the payers within 5
business days
- Work assigned billing reports within 2 business days
- Follow up with the insurance companies by phone and or web for
the status of outstanding claims if applicable
- Respond to patient inquiries regarding the status of the
patient's insurance within 2 business days
- Submit newborn notifications to income support if
applicable
- Review/resolve the accounts on the Unbilled Report daily
(accounts that are on hold and haven't been processed by the
editor).
- Enter detailed notes explaining account activity in the Patient
Accounts system
- Take payments over the phone.
- Print UB and 1500 hardcopy claims when required by the
payer
- Bill secondary claims before the timely filing deadline
- Research late charges to determine the cause; inform your
supervisor if they are a regular occurrence.
- Handle incoming correspondence and inquiries on accounts.
- Report trends/issues to Supervisor and the Director of Patient
Financial Services
- Follow up with all insurance companies within 30 days of
billing if there is no payment on the account if applicable
- Forward patient complaints regarding care to your supervisor
for entry into the appropriate resolution pathway
Requirements
EducationRequired: High SchoolLicenses & CertificationsPreferred:
C-Heartsaver
Keywords: Christus Health, Las Cruces , Insurance Biller- 813050, Other , Alamogordo, New Mexico
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