This job has closed.

Shenandoah Medical Center · 2 months ago

Insurance Billing Specialist

Shenandoah, IA

Full-time

Onsite

New Grad, Entry Level

Shenandoah Medical Center is seeking an Insurance Billing Specialist. The main purpose of this role is to ensure accurate and timely billing processes, including reviewing and submitting claims, correcting edits, and following up on aged accounts.

Health CareHospitalNon ProfitPrimary and Urgent CareRehabilitation

Responsibilities

Review and submit clean claim for payment

Reviews and corrects all claim edits in the clearinghouse

Reviews and corrects all edits within the EMR software

Ensure proper secondary billing

Review and submit Paper claims with required attachments if appropriate

Verifies all unknown information with the appropriate department

Process Medicare DDE

Review and correct all Medicare claim edits for submission to WPS

Review and correct all Return to Provider claims

Completes Timely Follow-Up

Reviews account balances to ensure accuracy

Achieves department weekly goal for follow-up

Works with payers on denials with processes including, but not limited to, phone call verifications, medical records submission, reconsideration and appeals

Ensures the proper and timely submission of patient responsibility to statement vendor

Completes Regular Review of Aging

Reviews aging reports on a regular basis

Completes frequent follow up on aged accounts

Reports issues to direct supervisor

Performs other duties as assigned

Submission of reconsideration and appeals for payer denials as required

Completes and passed all training and exams

Qualification

Claim submissionEMR software proficiencyMedicare billingClaim edits correctionFollow-up skillsCommunication skills

Required