Medicare Biller/ Medicare Collector 813049
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 the claim is loaded into the Editor with the exception of
weekends and Holidays
- Reviews payer EOB's but not limited to payment accuracy,
patient liability, updating the financial class, notify commercial
biller to submit secondary or tertiary insurance, and appeal
grievance.
- Files appeals on denied claims and/or forwards to the Nurse
Auditor for review/appeal
- Enter denials on the Denial Log
- Enter the USPS tracking number in the Patient Accounts
system
- Enter the USPS delivered date in the Patient Accounts
system
- Contact payer to ensure an appeal was received
- Maintain better than an 80% clean claim average.
- Attach but not limited to the medical records, implant invoice,
and itemized bill to the claim before billing if applicable
- Process incoming mail correspondence from the payers within 3
business days
- Work assigned billing reports within 2 business days
- Work the rejection report daily to resolve problem
accounts
- Follow up with the payer via phone and/or the website for the
status of outstanding claims
- Respond to patient inquiries within 2 business days
- Respond to interdepartmental inquiries within 2 business
days
- Respond to payer requests within 2 business days
- Respond to emails within 2 business days
- Submit newborn notifications 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
- Process payments over the phone if applicable
- Print UB and 1500 hardcopy claims when required by the
payer
- Submit primary, secondary and tertiary claims before the timely
filing deadline
- Research late charges to determine the cause; inform supervisor
of regular occurrences and trends
- Report A/R account trending issues to the 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
- Work the eScan reports timely if applicable
- Forward patient complaints regarding care to the supervisor for
entry into the appropriate resolution pathway
- Notify supervisor of payers that accept electronic billing
currently billed hard copy
Requirements
EducationRequired: High SchoolLicenses & CertificationsPreferred:
C-Heartsaver
Keywords: Christus Health, Las Cruces , Medicare Biller/ Medicare Collector 813049, Other , Alamogordo, New Mexico
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