Community Health Systems Billing Specialist 1 in Fort Smith, Arkansas

Description:

ESSENTIAL JOB FUNCTIONS :

· Bills all primary and secondary insurance claims in a timely and accurate manner

· Demonstrates working knowledge of all appropriate billing forms, UB04, 1500 or state specified forms

· Demonstrates working knowledge of the electronic billing system with and understanding of edits and reports

· Working knowledge of federal, state, local and intermediary specific billing requirements to ensure appropriate authorizations are completed and/or notifies appropriate person of missing or incomplete billing requirements and follows up in a timely manner

· Audits each bill/account for charges, duplications and overlapped accounts before billing, making any necessary adjustments and documenting appropriately.

· Resolves claim processing issues on a timely basis by reviewing claim inventories and taking appropriate action

· Ensures accurate and complete clean claim submission for both paper and electronic claims in a timely manner

· Maintains currency in regards to methods of billing, laws, or hospital rules relating to insurance claims and electronic submission claims

· Completes the SSI daily balancing to completion each day

· Communicates timely and in a professional manner with the Billing Services Manager for any issues or billing delays identified

· Communicates with the Billing Service Manager for any charging trends or edit trends and provide examples and education to other departments (such as ancillary, patient access) to reduce errors

· Responsible for maintaining performance standards that ensure the department is operating at peak proficiency and that established goals are consistently being met.

· Work is performed under tight deadlines.

· Maintaining current knowledge and understanding of government rules, regulations.

· Ability to work with technology necessary to complete job effectively. This includes, but is not limited to, SSI, phone technology, PULSE/DAR products, eligibility tools, claim status, and scanning technology.

· Ability to perform all other duties as assigned or requested.

Qualifications

EDUCATION, SKILLS & EXPERIENCE:

  • Education:

High School graduate or equivalent

  • Experience:

Minimum one (1) year billing experience in a medical facility, ambulatory surgery facility, or acute-care hospital

Knowledge of CPT, HCPCS, ICD-9 and medical terminology

  • Administrative Skills:

Excellent interpersonal skills required to communicate with direct staff and internal/external customers

Must possess excellent time management and organizational skills

Demonstrated critical thinking, creativity, problem solving and decision-making skills

Job: Credit & Collection

Organization: Shared Services Center - Fort Smith

Location: AR-Fort Smith

Requisition ID: 1739007