Wayne Memorial Hospital ยท 1 month ago
INSURANCE BILLING FOLLOW UP (PRN, AS NEEDED)
JESUP, GA
Full-time
Onsite
New Grad, Entry LevelWayne Memorial Hospital is seeking an Insurance Billing Follow Up professional to handle all activities related to billing insurance claims. The role involves auditing accounts, ensuring claims are processed correctly, and maintaining knowledge of commercial payer requirements.
Health CareHospitalMedicalNon Profit
Responsibilities
Downloads all accounts from Paragon system each morning. Audits all accounts for missing charges and missing requirements. when this is completed, transmits correct completed claims. Furnishes needed claim information to assure payment. Assists with correspondence
Establishes a patient file for claims in need of diagnosis information and/or coding. Enters needed information on the claims
Ensures rejected claims have proper codes and enters such requirements and/or changes the Paragon system and rebills the claim
Maintains knowledge of all Commercial payer requirements. Maintains file of alerts and bulletins and distributes to appropriate staff that may pertain to
Assists with special projects assigned by the PFS Director
Typing is required
Qualification
Required
A high school diploma or the equivalent is required
Prior experience in a medical office or business office setting with an emphasis on adult public contact and attention to detail is required
Handles all activity relative to billing of all insurance claims
Making sure corrections are done in Paragon & Claims Billing Software System are completed to ensure that production of clean claims for rebilling
Works CRC report daily and forwards to appropriate person responsible for following up and completing
Assignment requires planning and arranging all billers' work to accomplish/complete daily/weekly job duties
Applies own knowledge to solve routine operational problems
Must be able to handle a variety of tasks while meeting established deadlines
Downloads all accounts from Paragon system each morning
Audits all accounts for missing charges and missing requirements
Transmits correct completed claims
Furnishes needed claim information to assure payment
Assists with correspondence
Establishes a patient file for claims in need of diagnosis information and/or coding
Enters needed information on the claims
Ensures rejected claims have proper codes and enters such requirements and/or changes the Paragon system and rebills the claim
Maintains knowledge of all Commercial payer requirements
Maintains file of alerts and bulletins and distributes to appropriate staff that may pertain to
Assists with special projects assigned by the PFS Director
Typing is required
Hear and understand both face-to-face and telephone conversations
See sufficiently to complete forms, read instructions and use calculator for mathematical computations
Converse appropriately with individuals both inside & outside the hospital
Give and receive simple and complex instructions
Read and understand written language
Concentrate on, and remember varied job duties
Prioritize work of position
Solve problems ranging from simple to complex
Use both hands for typing for long periods of time, filing, etc
Carry less than 10 pounds on a regular basis and up to 25 pounds occasionally
Work requires sitting at desk for long periods of time to complete paperwork, type and converse on telephone
Must be able to perform the essential functions of the job without being a danger (liability, risk, etc.) to self or others
Preferred
Post high school business training is desirable
Company
Wayne Memorial Hospital
Wayne Memorial Hospital provides multi-specialty healthcare and medical services to the community.
Founded in 1920
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Joe Ierardi
President/CEO
Recent News
2025-09-13
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