Patient Billing Representative - HEALTH jobs in United States
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Sedgwick County Government · 1 week ago

Patient Billing Representative - HEALTH

Sedgwick County Government is seeking a Patient Billing Representative to provide billing support for clinical services in their Health Department. The role involves verifying coding accuracy, processing claims, and acting as a liaison between clients and insurance companies to ensure proper billing practices are followed.

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Responsibilities

Verify accurate CPT codes
Verify accurate payor on client accounts
Audit Code compliance that all charges are included on claim
Act as a liaison between insurance company and medical staff
Troubleshoot coding issues in the billing system
Review claims for accuracy, including demographics and coding
Verify the charges, adjustments, and revenue collected
Validate that claims go through the process to collect prior to sending the claim to the collection agency
Respond to clients regarding billing questions and payments
Process customer refunds based on information provided by billing company
Ensure daily payment information is sent to billing company
Research client EOB for accurate a payment allocation
Provide training to Health Department Customer Service Associates
Verify the charges, adjustments, and revenue collected
Act as the Liaison between Health billing system, IT, Administrative Specialist and Medical staff
Confirm all claims are being worked in a timely manner within payor established timelines
Acquire and maintain backup copies of electronic (EOB) details on all accounts
Submit claims for Set off prior to the beginning of each year
Reconcile bank deposits to the revenues recorded in SAP
Keep up to date records with State of Kansas Setoff program, updating information when payments are received
Review denied claims and make necessary changes to receive payment. Confirm denied claims are supported by documentation
Reconcile payments with EOB recorded by billing company with revenues in internal accounts receivable
Prove removal of all claims from inventory listing are supported by payment, denials, or write-off’s according to policy
Audit patient accounts for aging claims

Qualification

Healthcare billingCPT codingSAPClaims processingCustomer serviceTroubleshootingTraining

Required

High School Diploma or equivalent
Twelve months of coursework in HealthCare billing and coding
Coursework can be substituted for related experience
Must complete Federal Emergency Management Administration (FEMA) IS 100 and 700 courses within 30 days of employment

Preferred

Two years of experience in healthcare billing or related field
Two years coursework from an accredited college in HealthCare Billing

Benefits

Health coverages
Paid leave
Regular compensation reviews
Retirement plans
Professional development opportunities

Company

Sedgwick County Government

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Sedgwick County Government is located in South Central Kansas and encompasses 1,008 square miles.

Funding

Current Stage
Late Stage

Leadership Team

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Brent Shelton
Deputy Chief Financial Officer
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Anna Meyerhoff-Cole
Deputy Chief Human Resources Officer
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Company data provided by crunchbase