Community Health Systems Billing Specialist in Sarasota, Florida
Bills all primary andsecondary insurance claims in a timely and accurate manner
Demonstrates workingknowledge of all appropriate billing forms, UB04, 1500 or state specified forms
Demonstrates workingknowledge of the electronic billing system with and understanding of edits andreports
Working knowledge offederal, state, local and intermediary specific billing requirements to ensureappropriate authorizations are completed and/or notifies appropriate person ofmissing or incomplete billing requirements and follows up in a timely manner
Audits each bill/accountfor charges, duplications and overlapped accounts before billing, making anynecessary adjustments and documenting appropriately.
Resolves claim processingissues on a timely basis by reviewing claim inventories and taking appropriateaction
Ensures accurate andcomplete clean claim submission for both paper and electronic claims in atimely manner
Maintains currency inregards to methods of billing, laws, or hospital rules relating to insuranceclaims and electronic submission claims
Completes the SSI dailybalancing to completion each day
Communicates timely and ina professional manner with the Billing Services Manager for any issues orbilling delays identified
Communicates with theBilling Service Manager for any charging trends or edit trends and provideexamples and education to other departments (such as ancillary, patient access)to reduce errors
Responsible formaintaining performance standards that ensure the department is operating atpeak proficiency and that established goals are consistently being met.
Work is performed undertight deadlines.
Maintaining currentknowledge and understanding of government rules, regulations.
Ability to work withtechnology necessary to complete job effectively. This includes, but is notlimited to, SSI, phone technology, PULSE/DAR products, eligibility tools, claimstatus, and scanning technology.
Ability to perform allother duties as assigned or requested.
- High School graduate or equivalent
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
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: Business Office Support
Organization: Shared Services Center - Sarasota
Requisition ID: 1818056