OESC (Oneida ESC Group)
Medical Billing Clerk Support- Billing Agent
OESC (Oneida ESC Group), Milwaukee, Wisconsin, United States, 53244
Location : Yokosuka, Japan (on-site)
Job Summary Serves as a medical billing clerk for the Uniform Business Office (UBO) programs: Third-Party Collections (TPC), Medical Services Account (MSA), and Medical Affirmative Claims (MAC). Initiates and processes claims for first to third-party payers on behalf of beneficiaries treated in military treatment facilities (MTFs).
Responsibilities
Educate beneficiaries and MTF staff about the various billing and collection programs and processes to include the requirement of a DD Form 2569, Third-Party Collections – Record of Other Health Insurance, and the required complete Injury Log.
Facilitates procedures and processes for Third-Party Collections, Medical 38 DHA PWS
Service Account and Medical
Uses other databases (internal or external to MTF) in compliance with HIPAA guidelines to identify insurance coverage.
Obtains information, if necessary, through direct patient interviews or by telephone. Insurance companies shall be called for verification of benefits and coverage amounts and to obtain other requirements to be met for reimbursement.
Inputs and updates patient insurance information in CHCS, AHLTA, or MHS GENESIS and TPOCS or into other databases required by the MTF. Insurance coverage information is obtained entered into CHCS, and TPOCS or other Government standard system with insurance information for those beneficiaries with billable coverage.
Reviews medical records when needed for clarification of medical treatment, history of illness, medical tests, accident information or any other clarification for billing purposes.
Prepares and mails or transmits claims to third-party payers using the UB-92, the HCFA 1500, Health Insurance Claim Form, or other form required. Claims may also be processed electronically when available to the Government.
Conducts follow-up claims inquiries until payment received and/or case is closed.
Works with the facility Admissions and Dispositions Office to obtain authorizations and pre-certifications from third-party
Education High School diploma or General Educational Development (GED) equivalency. Medical terminology desired.
Minimum Experience At least two-years relevant experience or specialized Registered Health Information Technician (RHIT) or Registered Health Information Administrator certification required.
Compensation $25/Hour
About Oneida ESC Group The Oneida ESC Group
is a family of companies owned by the Oneida Nation of Wisconsin that delivers customer-focused engineering, science, and construction services worldwide.
Our Family Of Companies Includes
Oneida ESC Group (OESC)
Oneida Professional Services (OPS)
Oneida Total Integrated Enterprises (OTIE)
Mission Support Services (MS2)
Sustainment & Restoration Services (SRS)
Oneida Engineering Solutions (OES)
General Mechanical Corporation (GMC)
LG2 Environmental Solutions (LG2)
Oneida Environmental (OE)
Equal Employment Opportunity Oneida ESC Group is an equal opportunity employer committed to inclusion and diversity in the workplace. We take affirmative action to ensure equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws, national origin, disability, veteran status, or other legally protected characteristics. Oneida ESC Group participates in the E-Verify program. Oneida ESC Group is committed to working with and providing reasonable accommodation to applicants with physical and mental disabilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Oneida ESC Group makes hiring decisions based solely on qualifications, merit, and business needs at the time.
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Job Summary Serves as a medical billing clerk for the Uniform Business Office (UBO) programs: Third-Party Collections (TPC), Medical Services Account (MSA), and Medical Affirmative Claims (MAC). Initiates and processes claims for first to third-party payers on behalf of beneficiaries treated in military treatment facilities (MTFs).
Responsibilities
Educate beneficiaries and MTF staff about the various billing and collection programs and processes to include the requirement of a DD Form 2569, Third-Party Collections – Record of Other Health Insurance, and the required complete Injury Log.
Facilitates procedures and processes for Third-Party Collections, Medical 38 DHA PWS
Service Account and Medical
Uses other databases (internal or external to MTF) in compliance with HIPAA guidelines to identify insurance coverage.
Obtains information, if necessary, through direct patient interviews or by telephone. Insurance companies shall be called for verification of benefits and coverage amounts and to obtain other requirements to be met for reimbursement.
Inputs and updates patient insurance information in CHCS, AHLTA, or MHS GENESIS and TPOCS or into other databases required by the MTF. Insurance coverage information is obtained entered into CHCS, and TPOCS or other Government standard system with insurance information for those beneficiaries with billable coverage.
Reviews medical records when needed for clarification of medical treatment, history of illness, medical tests, accident information or any other clarification for billing purposes.
Prepares and mails or transmits claims to third-party payers using the UB-92, the HCFA 1500, Health Insurance Claim Form, or other form required. Claims may also be processed electronically when available to the Government.
Conducts follow-up claims inquiries until payment received and/or case is closed.
Works with the facility Admissions and Dispositions Office to obtain authorizations and pre-certifications from third-party
Education High School diploma or General Educational Development (GED) equivalency. Medical terminology desired.
Minimum Experience At least two-years relevant experience or specialized Registered Health Information Technician (RHIT) or Registered Health Information Administrator certification required.
Compensation $25/Hour
About Oneida ESC Group The Oneida ESC Group
is a family of companies owned by the Oneida Nation of Wisconsin that delivers customer-focused engineering, science, and construction services worldwide.
Our Family Of Companies Includes
Oneida ESC Group (OESC)
Oneida Professional Services (OPS)
Oneida Total Integrated Enterprises (OTIE)
Mission Support Services (MS2)
Sustainment & Restoration Services (SRS)
Oneida Engineering Solutions (OES)
General Mechanical Corporation (GMC)
LG2 Environmental Solutions (LG2)
Oneida Environmental (OE)
Equal Employment Opportunity Oneida ESC Group is an equal opportunity employer committed to inclusion and diversity in the workplace. We take affirmative action to ensure equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws, national origin, disability, veteran status, or other legally protected characteristics. Oneida ESC Group participates in the E-Verify program. Oneida ESC Group is committed to working with and providing reasonable accommodation to applicants with physical and mental disabilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Oneida ESC Group makes hiring decisions based solely on qualifications, merit, and business needs at the time.
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