Northern Arizona Healthcare
Insurance Billing Representative - Hybrid (must be located within commuting dist
Northern Arizona Healthcare, Flagstaff, Arizona, United States, 86004
Insurance Billing Representative - Hybrid
Hybrid position which requires some time onsite at Flagstaff Medical Center. Applicants should be within commuting distance to Flagstaff. Join to apply for the Insurance Billing Representative - Hybrid role at Northern Arizona Healthcare. This is a hybrid position which requires some time onsite at Flagstaff Medical Center. Applicants should be within commuting distance to Flagstaff. Responsibilities Billing: Demonstrates knowledge of editing and submitting claims to insurance clearing house by electronic or paper submission. Demonstrates knowledge of when to send a claim to the auditor or coder for corrections. Reviews and makes corrections to rejected claims and resubmits to payers. Open communication on Updates-CPT codes and ICD-10 codes, as needed. Works with Billing Manager to maximize revenue potential for services and providers. Claim follow up: Corrects, edits and manages denied claims through work queues, correspondence and emails. Enters encounter notes regarding rejections and follow up activities performed to enable others to review claim history on all encounters. Performs account adjustments or write-offs as needed in accordance with the Write-Off policy. Handles internal communications with the health centers related to insurance billing and collections. Requests medical records from health centers as requested by the contracted insurance plans. Corresponds with and assists vendors involved with patient accounts. Compliance/Safety: Responsible for reporting safety incidents in a timely fashion through the Midas/RDE tool; attends safety training; performs work safely; monitors the work environment for safety issues and ensures others are also safe. Maintains confidentiality of all department, patient, and billing matters. Completes mandatory modules and required job-specific training in the specified time frame. Stays current and compliant with state and federal regulations/statutes and company policies that impact the area of responsibility. Qualifications Education: High School Diploma or GED - Required Experience: Medical Insurance Billing/Collections - Preferred Medical/Hospital Billing - Preferred Knowledge: UB04 - Preferred Knowledge of Explanation of Benefits (EOB) - Preferred Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Colleagues must have an understanding of computers and competence in using computers and basic software programs. Seniority level Entry level Employment type Contract Job function Accounting/Auditing and Finance Industries Hospitals and Health Care Referrals increase your chances of interviewing at Northern Arizona Healthcare.
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Hybrid position which requires some time onsite at Flagstaff Medical Center. Applicants should be within commuting distance to Flagstaff. Join to apply for the Insurance Billing Representative - Hybrid role at Northern Arizona Healthcare. This is a hybrid position which requires some time onsite at Flagstaff Medical Center. Applicants should be within commuting distance to Flagstaff. Responsibilities Billing: Demonstrates knowledge of editing and submitting claims to insurance clearing house by electronic or paper submission. Demonstrates knowledge of when to send a claim to the auditor or coder for corrections. Reviews and makes corrections to rejected claims and resubmits to payers. Open communication on Updates-CPT codes and ICD-10 codes, as needed. Works with Billing Manager to maximize revenue potential for services and providers. Claim follow up: Corrects, edits and manages denied claims through work queues, correspondence and emails. Enters encounter notes regarding rejections and follow up activities performed to enable others to review claim history on all encounters. Performs account adjustments or write-offs as needed in accordance with the Write-Off policy. Handles internal communications with the health centers related to insurance billing and collections. Requests medical records from health centers as requested by the contracted insurance plans. Corresponds with and assists vendors involved with patient accounts. Compliance/Safety: Responsible for reporting safety incidents in a timely fashion through the Midas/RDE tool; attends safety training; performs work safely; monitors the work environment for safety issues and ensures others are also safe. Maintains confidentiality of all department, patient, and billing matters. Completes mandatory modules and required job-specific training in the specified time frame. Stays current and compliant with state and federal regulations/statutes and company policies that impact the area of responsibility. Qualifications Education: High School Diploma or GED - Required Experience: Medical Insurance Billing/Collections - Preferred Medical/Hospital Billing - Preferred Knowledge: UB04 - Preferred Knowledge of Explanation of Benefits (EOB) - Preferred Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Colleagues must have an understanding of computers and competence in using computers and basic software programs. Seniority level Entry level Employment type Contract Job function Accounting/Auditing and Finance Industries Hospitals and Health Care Referrals increase your chances of interviewing at Northern Arizona Healthcare.
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