Commercial Insurance Collector CBO Hospital inpatient Claims - Work from Home Houston, Texas
Kindred Commercial Biller Open position
Our large Healthcare Organization is seeking an experienced Medical Biller to work in our Central Business Office. The ideal candidate will have a strong background in medical billing with the skills necessary to improve our current billing procedures and reduce A/R days. The successful applicant will work on a number of tasks requiring data analysis, in-depth evaluation and exercising judgement within the appropriate scope of practice. We offer excellent benefits, generous paid time off and competitive compensation.
Job Responsibilities:
- Submit billing data to insurance providers
- Responsible for submitting Primary Clean Claim through Assurance (billing software)
- Ensure all Primary Claims are billed in sequence order
- Accurately bill claims for specific payers that require Stoploss, 15 day interims, 60 day, or, Admit through Discharge payers
- Daily review Insurance Matrix to ensure correct mnemonic is used and account proration is accurately reflected in Meditech prior to billing Claim
- Request Medical Records when necessary through MRO
- Ability to submit coding issues through CMR Tracker
- Work Daily Pools specific to facilities assigned
- Review and work daily Unbilled Report
- Must meet or exceed daily quota of 30 accounts per day
- Work and Status Artiva accounts
- Responsible for Billing 2ndry Claims, Corrected Claims and Rebills when applicable
- Respond to all e-mails from Management staff and other departments timely
- Add Billing canned text and important documentation in Meditech
- Work closely with Pre-Billers to ensure account setup in Meditech is correct and all Payer information is enter in Meditech for billing purposes
Skills required:
High School Diploma required
Medical Billing Training (preferred but not required)
5 plus years as a Commercial Medical Biller (specifically UB04 electronic billing and paper claims)
Proficient with Electronic Medical Records
Ability to work independently and collaboratively within a team environment
Ability to multi-task and meet tight deadlines a plus
Excellent problem solving skills a must
Excellent communication skills required
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