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Third Party Insurance Biller (24372)

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Job Snapshot
Location:
Bowling Green, KY 42101 (map it!Map it! )
Employee Type:
Full-Time
Industry:
Other Great Industries
Manages Others:
Not Specified
Job Type:
Health Care
Admin - Clerical
Accounting
Education:
None
Experience:
Not Specified
Travel:
Negligible
Relocation Covered:
No
Post Date:
11/27/2009
Contact Information
Contact:
Recruiter
Ref ID:
24372.812760
Description Perot Systems Corporation is a worldwide provider of information technology services and business solutions to a broad range of clients. We are currently looking for a Third Party Insurance Billing Specialist to join our team in Bowling Green, KY.

Job Summary:
Performs tasks required to ensure the timely and accurate submission of insurance claims to all third party payers and documents billing activity in the patient accounting system.

Job Responsibilities:
  • Works daily electronic billing file and submits insurance claims to third party payers
  • Reviews daily edit reports from the hospital billing system and makes necessary corrections to allow electronic submission
  • Reviews error reports from electronic payers; identifies errors and makes appropriate corrections to ensure accurate claim submission
  • Monitors claim rejections for trends and issues and reports findings to supervisor
  • Prepares and submits manual insurance claims to third party payers who do not accept electronic claims or who require special handling
  • Reviews all claims for accuracy
  • Coordinates medical record requests as needed
  • Documents billing activity on the patient account
  • Ensures hospital compliance with all state and federal billing regulations and reports any suspected compliance issues to the Medical Billing Supervisor
  • Works with supervision, management and the patient accounting staff to improve processes, increase accuracy, create efficiencies and achieve the overall goals of the department
  • As requested, participates in general or special assignments
  • Attends required training and completes on-line training as assigned

    Required Skills:
  • 1+ years of healthcare receivables experience
  • Demonstrated knowledge of third party billing procedures
  • Knowledge of claims review and analysis
  • Knowledge of Medicare, Medicaid and HMO contracts
  • Demonstrated skill and typing ability sufficient to function easily in a variety of hospital patient accounting and billing systems (SMARTS, FISS, Epic, ePremis)
  • Good oral and written communication skills

  • Good organization and time management skills

  • Computer literate

  • Ability to read, write and follow directions

  • Ability to establish priorities effectively

  • Self-directed and capable of working without direct supervision
  • Ability to work well with others
  • Dependable in both production and attendance

    Minimum Educational Requirements:
  • High school diploma or equivalent

    Perot Systems is committed to Equal Employment Opportunity. It is the policy of Perot Systems Corporation to encourage and support equal employment opportunity for all Associates and applicants for employment without regard to sex, race, color, ancestry, religious creed, national origin, pregnancy, physical disability, mental disability, medical condition, age, marital status, political affiliation, sexual orientation, disabled veteran or Vietnam era veteran status.
    • Requirements See Above
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