Boone County Hospital
Join to apply for the
Billing Specialist
role at
Boone County Hospital
1 day ago Be among the first 25 applicants
Join to apply for the
Billing Specialist
role at
Boone County Hospital
Get AI-powered advice on this job and more exclusive features.
We are looking for a motivated, detail-oriented individual to join our Clinic Business Office team. We offer a team approach to healthcare, competitive pay, and great benefits.
Status:
Full-Time - 40 Hours per Week
Shift:
Day - 8:00 a.m. to 4:30 p.m.
Days:
Monday through Friday
Benefits
Medical Insurance
Dental Insurance
Vision Insurance
Flexible Spending Accounts (FSA)
Health Savings Accounts (HSA)
Life insurance
Aflac
Short-term and long-term disability coverage
Wellness program and reimbursement
Free access to Boone County Hospital’s onsite fitness room
Generous PTO Accrual Plan
Iowa Public Employees Retirement System (IPERS)
Employee Assistance Program (EAP)
Onsite Cafeteria
Salary Scale: $18.10-25.27
Position Summary This position will be responsible for performing billing and follow-up functions, including the investigation of payment delays, resulting from no response, denied, rejected and/or pending claims with the objective of appropriately maximizing reimbursements and ensuring that claims are paid in a timely manner. This position requires strong decision-making ability around complex claims processing workflows and requires utilization of data coming from multiple resources.
Bch Policy Statement It is the obligation of each employee of Boone County Hospital (BCH) to abide by and promote BCH's mission, values, Code of Conduct, Standards of Behavior, policies, procedures, and related practices. This includes policies relating to Compliance, Infection Control and Safety.
Hipaa Security Compliance Boone County Hospital is committed to following all federal guidelines related to privacy and security. All employees will be held to the highest standard of confidentiality and will be required to annually sign an employee confidentiality agreement that outlines the rules and expectation for every BCH employee. Failure to abide by these guidelines could lead to disciplinary action including termination.
Security Access: High Incumbent has access to restricted or confidential patient information and must comply with the terms of the BCH privacy & security policies as it applies to their job.
Behavioral Requirements Boone County Hospital has developed standards for behavior expectations of all employees. Please refer to the Boone County Hospital Standards of Behavior.
Essential Functions
Resolve billing errors and edits to ensure all claims are filed in a timely manner
Ensure all claims are accurately transmitted daily and all appropriate documentation is sent when required
Verify eligibility and claims status on unpaid claims
Review payment denials and discrepancies and take appropriate action to correct the accounts/claims.
Respond to customer service inquiries
Perform charge corrections when necessary to ensure services previously billed incorrectly are billed out correctly
Submit replacement, cancel and appeal claims to third party payers
Provide timely feedback to management of identified claims issues, repetitive errors, and payer trends to expedite claims adjudication
Work accounts in assigned queues in accordance with departmental guidelines
Contact patients for needed information so claims are processed /paid in a timely manner
Work directly with third party payers and internal/external customers toward effective claims resolution
Other duties as assigned by the Patient Financial Service Director
Minimum Knowledge, Skills And Abilities Required
Prefer one year of experience within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing medical claims processing and or financial counseling.
High School Diploma or GED
Interpersonal skills
Written and verbal communication
Basic computer skills
Motivation, teamwork and professionalism
Customer/Patient focused
Planning and organizational skills
Equipment/Tools PHYSICAL ACTIVITY REQUIREMENTS: Operate office equipment such as computers, printers, copy machine, calculator, facsimile, multi-line phone system, and scanners.
Working Conditions Typical working conditions include sitting at a desk for extended periods, while working on a computer or talking on the phone.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
Vision must be correctable to view computer screens and read printed information. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, and ability to adjust focus.
Hearing must be in the normal range for telephone contacts and other conversations.
The above is intended to describe the general content of and requirements for this job. It is not intended to be a complete statement of duties, responsibilities, or requirements.
Seniority level
Seniority level Entry level
Employment type
Employment type Full-time
Job function
Job function Accounting/Auditing and Finance
Industries Hospitals and Health Care
Referrals increase your chances of interviewing at Boone County Hospital by 2x
#J-18808-Ljbffr
Billing Specialist
role at
Boone County Hospital
1 day ago Be among the first 25 applicants
Join to apply for the
Billing Specialist
role at
Boone County Hospital
Get AI-powered advice on this job and more exclusive features.
We are looking for a motivated, detail-oriented individual to join our Clinic Business Office team. We offer a team approach to healthcare, competitive pay, and great benefits.
Status:
Full-Time - 40 Hours per Week
Shift:
Day - 8:00 a.m. to 4:30 p.m.
Days:
Monday through Friday
Benefits
Medical Insurance
Dental Insurance
Vision Insurance
Flexible Spending Accounts (FSA)
Health Savings Accounts (HSA)
Life insurance
Aflac
Short-term and long-term disability coverage
Wellness program and reimbursement
Free access to Boone County Hospital’s onsite fitness room
Generous PTO Accrual Plan
Iowa Public Employees Retirement System (IPERS)
Employee Assistance Program (EAP)
Onsite Cafeteria
Salary Scale: $18.10-25.27
Position Summary This position will be responsible for performing billing and follow-up functions, including the investigation of payment delays, resulting from no response, denied, rejected and/or pending claims with the objective of appropriately maximizing reimbursements and ensuring that claims are paid in a timely manner. This position requires strong decision-making ability around complex claims processing workflows and requires utilization of data coming from multiple resources.
Bch Policy Statement It is the obligation of each employee of Boone County Hospital (BCH) to abide by and promote BCH's mission, values, Code of Conduct, Standards of Behavior, policies, procedures, and related practices. This includes policies relating to Compliance, Infection Control and Safety.
Hipaa Security Compliance Boone County Hospital is committed to following all federal guidelines related to privacy and security. All employees will be held to the highest standard of confidentiality and will be required to annually sign an employee confidentiality agreement that outlines the rules and expectation for every BCH employee. Failure to abide by these guidelines could lead to disciplinary action including termination.
Security Access: High Incumbent has access to restricted or confidential patient information and must comply with the terms of the BCH privacy & security policies as it applies to their job.
Behavioral Requirements Boone County Hospital has developed standards for behavior expectations of all employees. Please refer to the Boone County Hospital Standards of Behavior.
Essential Functions
Resolve billing errors and edits to ensure all claims are filed in a timely manner
Ensure all claims are accurately transmitted daily and all appropriate documentation is sent when required
Verify eligibility and claims status on unpaid claims
Review payment denials and discrepancies and take appropriate action to correct the accounts/claims.
Respond to customer service inquiries
Perform charge corrections when necessary to ensure services previously billed incorrectly are billed out correctly
Submit replacement, cancel and appeal claims to third party payers
Provide timely feedback to management of identified claims issues, repetitive errors, and payer trends to expedite claims adjudication
Work accounts in assigned queues in accordance with departmental guidelines
Contact patients for needed information so claims are processed /paid in a timely manner
Work directly with third party payers and internal/external customers toward effective claims resolution
Other duties as assigned by the Patient Financial Service Director
Minimum Knowledge, Skills And Abilities Required
Prefer one year of experience within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing medical claims processing and or financial counseling.
High School Diploma or GED
Interpersonal skills
Written and verbal communication
Basic computer skills
Motivation, teamwork and professionalism
Customer/Patient focused
Planning and organizational skills
Equipment/Tools PHYSICAL ACTIVITY REQUIREMENTS: Operate office equipment such as computers, printers, copy machine, calculator, facsimile, multi-line phone system, and scanners.
Working Conditions Typical working conditions include sitting at a desk for extended periods, while working on a computer or talking on the phone.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
Vision must be correctable to view computer screens and read printed information. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, and ability to adjust focus.
Hearing must be in the normal range for telephone contacts and other conversations.
The above is intended to describe the general content of and requirements for this job. It is not intended to be a complete statement of duties, responsibilities, or requirements.
Seniority level
Seniority level Entry level
Employment type
Employment type Full-time
Job function
Job function Accounting/Auditing and Finance
Industries Hospitals and Health Care
Referrals increase your chances of interviewing at Boone County Hospital by 2x
#J-18808-Ljbffr