5/20/2014 Day Shift:
Yes Position Code:
50080022 Night Shift:
No Rotating Shift:
MG BUS OFF-BMG CORPORATE
Completes the daily billing functions, both paper and electronic claims and for the timely follow up of same. Handles patient questions to completion. Performs other duties as assigned.
Handles telephone communication with patients, insurance companies and other hospital personnel. Bills, collects and submits all insurance and TPA claims on a daily basis according to payer guidelines.
Submits accurate claims according to payer guidelines, Reviews all 72 hours reports, Works all insurance denials via paper and/or electronic in work queues, maintains electronic reject reports and all 276/277
Processes all workload in Receivables Work Station, Processes work flow in HBF queues, Processes all claims failing in STAR - Patient Financial Representative work queues.
Monitors all electronic and/or paper claim status. i.e. Medicare 201 report, caremedic status report, claims administrator status reports, etc.
Reviews claims administrator payer rejects and exclusion report, Monitors 201 report in FSS, Maintains caremedic status reports as per office policy, Posts all bank deposited money and/or ERA completed daily, including any zero payments or denials received.
Processes all money received and posts into the PA systems daily, Balances all money posted to the bank deposits daily, Balances all Electronic Remittances Advises (ERA) and Electronic Funds Transfers (EFT) daily.
Maintains credit balance reports to ensure prompt and accurate refunds and/or adjustments to accounts
Description Minimum Required Preferred / Desired Experience
Any business related clerical job skills. One year customer service, collection service, collections and third party collections. Indication of good customer skills is a plus.