Salem Memorial District Hospital
Overview
Billing Specialist I - Full Time. Purpose: The Billing Specialist I is responsible for collecting and entering claims, posting insurance, submitting claims, and answering patient inquiries on accounts.
Responsibilities
Enters information necessary for insurance claims such as patient, insurance, and insurance ID. Insures claim information in complete and accurate.
Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper UB04 and/or CMS-1500 form.
Answers patient questions on patient responsible portions, copays, deductibles, write-off's, etc. resolves patient's complaints or explains why certain services are not covered.
Follow up with insurance company on unpaid or rejected claims. Resolves issues and re-submits claims.
Prepares appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany letter.
Work with patient to establish payment plan for past due accounts in accordance with provider policies, as needed.
Follows HIPAA guidelines in handling patient information.
Provides necessary information as needed to collection agencies for delinquent or past due accounts.
Post insurance and patient payments using medical claim billing software.
May perform "soft" collections for patient past due accounts. This may include contacting and notifying patients via phone or mail.
Prepares and submits secondary claims upon processing by primary insurer.
Understand managed care authorizations and limits to coverage such as number of visits.
Verify patient benefits eligibility and coverage as needed.
Qualifications
High School diploma or GED required.
Billing experience preferred.
Additional Information
Position Type: Full Time
Shift: Day
Contact Information Salem Memorial District Hospital 35629 Highway 72 Salem, MO 65560 Phone: 573-729-6626
#J-18808-Ljbffr
Responsibilities
Enters information necessary for insurance claims such as patient, insurance, and insurance ID. Insures claim information in complete and accurate.
Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper UB04 and/or CMS-1500 form.
Answers patient questions on patient responsible portions, copays, deductibles, write-off's, etc. resolves patient's complaints or explains why certain services are not covered.
Follow up with insurance company on unpaid or rejected claims. Resolves issues and re-submits claims.
Prepares appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany letter.
Work with patient to establish payment plan for past due accounts in accordance with provider policies, as needed.
Follows HIPAA guidelines in handling patient information.
Provides necessary information as needed to collection agencies for delinquent or past due accounts.
Post insurance and patient payments using medical claim billing software.
May perform "soft" collections for patient past due accounts. This may include contacting and notifying patients via phone or mail.
Prepares and submits secondary claims upon processing by primary insurer.
Understand managed care authorizations and limits to coverage such as number of visits.
Verify patient benefits eligibility and coverage as needed.
Qualifications
High School diploma or GED required.
Billing experience preferred.
Additional Information
Position Type: Full Time
Shift: Day
Contact Information Salem Memorial District Hospital 35629 Highway 72 Salem, MO 65560 Phone: 573-729-6626
#J-18808-Ljbffr