Address
Form of workThe Biller is responsible for reconciling daily claims runs. Performs translation efforts to obtain claims needing manual intervention. Edits each claim to complete validation efforts. Takes necessary action to obtain information to resolve issues. Works daily accepted/rejected reports received from clearing house and/or managed care companies to correct incorrect patient demographics and make sure claims are received within timely filing limits. Responsible for monitoring assigned Quic/WQs requests to bring account closer to completion (i.e., corrected claims). Identifies trends for future edits.
Requirements:
- High school diploma or equivalent.
- Two years of hospital or professional billing preferred.
- Epic experience preferred.
Responsibilities:
- Opens/reviews all incoming correspondence on a daily basis; determines nature of item; enters item information into computer and/or forwards item to appropriate person to take appropriate action step(s) to bring account closer to completion.
- Responds to requests from supervisor, co-workers or other hospital personnel for information or assistance in a timely and courteous manner.
- Enters/records comments and/or requests for other departments or individuals daily in order to bring activities closer to completion.
- Works appropriate reports as dictated by supervisor.
- Promptly answers incoming phone calls in a concise, courteous, accurate and professional manner.
- Timely enters/monitors Quic requests so erred claims can be sent to payer.
- Requests Nthrive assistance by asking the system administrator to enter a service request whenever appropriate and monitors until issue is resolved in a satisfactory manner.
- Corrects erred claims daily in order to timely file to appropriate carrier.
- Any other duties as assigned by Woman's Hospital.
Schedule:
Full-Time; Monday - Friday
7:30 AM – 4:00 PM
*Remote opportunity available.
Pay Range:
Hourly/Non-Exempt
$13.00 – $18.00
A Work Experience with Purpose
Woman’s is one of the largest specialty hospitals for women and infants in the United States. We are recognized throughout the country for our innovative programs, and we pride ourselves in surpassing the expectations of those we serve. Providing exceptional patient care and creating exceptional patient experiences are at the center of what we do at Woman’s. Our team consistently exceeds state and national benchmarks for patient satisfaction.
Our employees, organizational culture, mission, vision, values, and benefits make Woman’s a best place to work. In fact, for the 16th year in a row, Woman’s has been recognized as a Best Place to Work by Modern Healthcare – making us the only healthcare organization to earn the distinction every year since the program’s inception. We are proud of the level of care our staff provides to our patients and each other.
If you have any questions or would like to connect with one of our recruiters directly, please e-mail hrjobs@womans.org.
We are an equal opportunity employer and value diversity and inclusion at Woman’s Hospital. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law.
