Ohio County Healthcare · 2 months ago
Insurance Billing Clerk
Hartford, KY, USA
Full-time
Onsite
New Grad, Entry LevelOhio County Healthcare is seeking an Insurance Billing Clerk to manage the billing and collections of Emergency Room physicians’ professional claims. The role involves filing insurance claims, resolving coding issues, and meeting collection goals while maintaining accurate records and ensuring compliance with hospital policies.
Health CareHospitalMedicalNon ProfitRehabilitation
Responsibilities
Managing the billing and collections of Emergency Room physicians’ professional claims for the hospital
Assist in filing insurance claims, determining write offs, and resolving coding issues
Meeting monthly collection goals by maintaining aged AR balances greater than 90 days old at under 12% for ER physicians’ professional claims for all payers, excluding Medicare
Reviewing all accounts on remittances to ensure balances are correct in CPSI and payment was properly posted
Following up daily to resolve denied and non-covered claims/services by calling insurance companies, using payer websites, and working with provider representatives to have claims reprocessed
Filing disputes and appeals, when necessary, with supporting documentation
Utilizing provider portal websites to check eligibility, claim status, authorization information, member COB files, etc
Reviewing errors on rejected accounts in our billing software (TruBridge RCM), correcting errors on claims before submitting to the payer
Reviewing and resolving claims in Denial Management work queues in billing software (TruBridge RCM)
Working with Payer Representatives to problem solve ongoing issues and stay educated on any updates from the payer
Ensuring that correct rates are being paid by payers according to contracts and professional fee schedules
Billing secondary ER physicians’ professional claims either electronically or by paper claim submission
Working a quarterly credit balance report to resolve credits on accounts
Contacting patients to resolve coverage or billing concerns and updating across all accounts and systems
Hospice billing duties: Registering new and recurring hospice patient accounts into the CPSI system
Hospice billing duties: Keying notice of elections for hospice patients to Medicare
Hospice billing duties: Maintaining clean claims for hospice accounts and ensuring payment is collected and is correct
Adding new and updating provider profiles in the CPSI system. Adding physician numbers and all appropriate provider information into the physician tables
Participating in educational activities and staff meetings when necessary
Maintaining confidentiality and adheres to all hospital policies, including HIPPA guidelines
Other duties as assigned
Qualification
Required
Must have computer skills necessary to use Word, Excel and CPSI and ECW core system
Must have excellent customer service skills, i.e telephone, interpersonal, written
Preferred
Preferred experience in an office setting with excellent work ethic skills
Prefer experience in medical office billing/precertification but not necessary
Company
Ohio County Healthcare
Ohio County Healthcare provides cardiology, case management, general surgery, infusion therapy, rehab, and emergency services.
Founded in 1953
501-1000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase