Saint Mary's Health Network
Insurance Biller Collector -MG Patient Accounting
Saint Mary's Health Network, Reno, Nevada, United States, 89550
Insurance Biller Collector - MG Patient Accounting
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Saint Mary's Medical Group is affiliated with Saint Mary’s Regional Medical Center, one of the nation’s “100 Top Hospitals” and “A” rated for patient safety. Overview We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Responsibilities The Biller is responsible for submitting claims to the appropriate intermediaries and to ensure that procedures and charges are coded in compliance with all payers, including Medi-Cal and/or Medicare regulations. Responsible for obtaining required authorizations necessary for the processing and payment of claims. The Biller is responsible for the follow-up and denial management as necessary for final resolution. Responsible to identify the various types of diagnosis and procedures codes (ICD9, CPT, HCPCS, DRG) as they relate to reimbursement. Communicates clearly and efficiently by phone and in person with clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements. Operates computer to input follow-up notes and retrieve collection and patient information. Maintains proficiency in Medical Terminology. Qualifications Previous Billing Experience within a hospital Business Office Required. Previous experience with government programs and collections preferred. Knowledge of medical terminology Effective written and verbal communication skills Ability to multi-task, prioritize needs to meet required timelines Analytical and problem-solving skills Customer Services experience required High School Graduate or GED Equivalent Required Employment Status : Full Time Shift : Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age, disability, military status, genetic information, or any other basis protected by applicable federal, state, or local laws.
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Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Saint Mary's Medical Group is affiliated with Saint Mary’s Regional Medical Center, one of the nation’s “100 Top Hospitals” and “A” rated for patient safety. Overview We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Responsibilities The Biller is responsible for submitting claims to the appropriate intermediaries and to ensure that procedures and charges are coded in compliance with all payers, including Medi-Cal and/or Medicare regulations. Responsible for obtaining required authorizations necessary for the processing and payment of claims. The Biller is responsible for the follow-up and denial management as necessary for final resolution. Responsible to identify the various types of diagnosis and procedures codes (ICD9, CPT, HCPCS, DRG) as they relate to reimbursement. Communicates clearly and efficiently by phone and in person with clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements. Operates computer to input follow-up notes and retrieve collection and patient information. Maintains proficiency in Medical Terminology. Qualifications Previous Billing Experience within a hospital Business Office Required. Previous experience with government programs and collections preferred. Knowledge of medical terminology Effective written and verbal communication skills Ability to multi-task, prioritize needs to meet required timelines Analytical and problem-solving skills Customer Services experience required High School Graduate or GED Equivalent Required Employment Status : Full Time Shift : Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age, disability, military status, genetic information, or any other basis protected by applicable federal, state, or local laws.
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