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North Star Behavioral Health · 2 months ago

Billing/Collections Rep

VIRGINIA BEACH, Virginia

Full-time

Onsite

Mid Level

3+ years exp

North Star Behavioral Health is part of Universal Health Services, Inc., one of the nation's largest providers of hospital and healthcare services. They are seeking a Billing/Collections Representative responsible for timely and accurate billing and collections of third-party payers, requiring critical thinking skills and knowledge of payer payment methods.

Health Care

Responsibilities

Responsible for timely and accurate billing and collections of all third party payers

Must possess critical thinking skills and understanding of third party payer payment methods to prepare contractual adjustments correctly based on payer contracts or government regulations

Responsible to submit electronic and paper claims to private and government payers, follow-up on submitted claims in accordance with payer and facility policies, document account activity, post payments and adjustments and demonstrate proficiency with billing system to ensure all functionality is utilize for the utmost efficient processing of claims

Responsible to report billing and collection trends, problems and issues that result in delayed claim processing

Responsible to maintain current on all private and government payer billing regulations and policy

Qualification

Medical billing experienceThird party payer knowledgeElectronic billing experienceMedical terminology knowledgeHIPAA regulations knowledgeCustomer service skillsWord proficiencyExcel proficiencyOutlook proficiencyProblem solving skills

Required

High School Diploma or equivalent

Three or more years medical billing and collection/follow-up experience with third party payers

Electronic billing experience working with acute and/or residential accounts and billing required

Must possess knowledge of medical terminology, Word, Excel and Outlook

Must possess excellent customer service skills

Must maintain professionalism when dealing with internal and external customers

Demonstrated complex problem solving proficiency in follow-up situations

Must be knowledgeable of and abide by HIPAA regulations with regard to protected health information as defined by HIPAA and ABS

Uses and/or discloses on a daily basis verbal, written and/or electronic PHI in order to perform job duties, as pertains to CLIENTS' FINANCIAL, DEMOGRAPHIC, AND /OR CLINICAL DATA and/or EMPLOYEES'FINANCIAL, DEMOGRAPHIC, AND/OR CLINICAL DATA

Must possess visual and audio skills to complete above listed job duties

Must be able to sit ninety percent (90%) of scheduled work hours

Must be able to lift and carry copy binders weighing up to 10 pounds

Some risk involved in the event of aggressive/out-of-control patients

Eye/hand coordination and finger dexterity essential for data/manual entry