Billing Representative -Full-Time jobs in United States
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Holy Name Medical Center · 16 hours ago

Billing Representative -Full-Time

Holy Name Medical Center is a medical facility committed to innovation and patient care. The Billing Representative is responsible for preparing, submitting, and following up on claims to ensure timely reimbursement while complying with regulatory requirements.

Health CareMedicalPersonal Health

Responsibilities

Reviews patient accounts for accuracy and completeness of charge, insurance, UB and DRG information
Verifies billing data, charges, and required claim information
Submits claims via the appropriate mode of submission
Maintains compliance with Medicare, Medicaid, and commercial payer regulations
Documents billing actions and updates in the billing system
Monitors the status of all outstanding claims within account assignments and follows up as needed
Resolves claim rejections and denials through follow-up and corrections
Receives and answers correspondence and phone inquiries from patient, insurance companies, Medicare and other parties regarding claims, charges or billing discrepancies
Calculates charge prorations, payer discounts, allowances and adjustments to be posted to accounts
Demonstrates effective communication skills with patients, insurance companies, internal department, and external departments
Maintains strict confidentiality of patient health information in accordance with HIPAA regulations
Performs related duties as assigned

Qualification

Medical billing knowledgeInsurance processes understandingData entry skillsMath skillsBilingual abilitiesWillingness to learnEffective communication skillsTeamwork ability

Required

High School Diploma or equivalent required
less than 1 year This is an entry-level position; previous experience in a related role is preferred
Basic understanding of medical billing and insurance processes are a plus
Basic computer and data entry skills
Ability to work independently and as part of a team
Ability and willingness to learn and be trained
Must speak, write and read English; Bilingual abilities are a plus
Must have strong math skills and familiarity with medical terminology

Preferred

Trade/Vocational School Accredited college/trade school for medical billing & coding preferred
previous experience in a related role is preferred

Benefits

Low-cost medical coverage with generous employer contributions
Dental and vision plans
Discounted prescriptions
Access to on-site child care
401(k) matching
Tuition reimbursement
Paid time off
Flexible spending accounts
Legal and voluntary coverage options
Life insurance
Free on-site parking

Company

Holy Name Medical Center

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Holy Name Medical Center is a not-for-profit healthcare facility offering specialty services, medical care & treatments, & other therapies.

Funding

Current Stage
Late Stage
Total Funding
$7.1M
Key Investors
Federal Emergency Management Agency
2023-03-28Grant· $7.1M

Leadership Team

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Michael Maron
President & CEO
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Philip Whang
Co-founder, Asian Dementia Center
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Company data provided by crunchbase