Phelps Health · 1 week ago
Billing Specialist I - HB
Rolla, MO
Full-time
Onsite
New Grad, Entry LevelPhelps Health is a hospital and healthcare system serving small-town Missouri. The Billing Specialist I is responsible for collecting and entering claims, posting insurance, submitting claims, and addressing patient inquiries regarding accounts.
Health CareHospitalMedical
Responsibilities
Enters information necessary for insurance claims such as patient, insurance, and insurance ID. Insures claim information in complete and accurate
Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper UB04 and/or CMS-1500 form
Answers patient questions on patient responsible portions, copays, deductibles, write-off's, etc. resolves patient's complaints or explains why certain services are not covered
Follow up with insurance company on unpaid or rejected claims. Resolves issues and re-submits claims
Prepares appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany letter
Follows HIPAA guidelines in handling patient information
May perform "soft" collections for patient past due accounts. This may include contacting and notifying patients via phone or mail
Understand managed care authorizations and limits to coverage such as number of visits
Verify patient benefits eligibility and coverage as needed
Prepares and submits secondary claims upon processing by primary insurer
Qualification
Required
High School Diploma or GED required
Enters information necessary for insurance claims such as patient, insurance, and insurance ID
Insures claim information in complete and accurate
Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper UB04 and/or CMS-1500 form
Answers patient questions on patient responsible portions, copays, deductibles, write-off's, etc
Resolves patient's complaints or explains why certain services are not covered
Follow up with insurance company on unpaid or rejected claims
Resolves issues and re-submits claims
Prepares appeal letters to insurance carrier when not in agreement with claim denial
Collect necessary information to accompany letter
Follows HIPAA guidelines in handling patient information
May perform 'soft' collections for patient past due accounts
Understand managed care authorizations and limits to coverage such as number of visits
Verify patient benefits eligibility and coverage as needed
Prepares and submits secondary claims upon processing by primary insurer
Ability to receive and express detailed information through oral communications
Visual acuity and the ability to read and understand written directions
Normal mental concentration with repetitive operations for a long period of time
Ability to stand, walk, sit, and reach
Occasionally lifts and transports items weighing up to ten (10) pounds
Preferred
Medical billing experience highly preferred
Experience in billing software and electronic data submission preferred
Company
Phelps Health
Phelps Health is a medical clinic and hospital that provides cardiovascular, hormone replacement, and healthcare services.
Founded in 1951
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Jason S.
Chief Executive Officer
Recent News
phelpscountyfocus.com
2024-04-27
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