Mountain View Hospital · 1 day ago
PRESCRIPTION CENTER - BILLING CLERK
Mountain View Hospital is looking for a Billing Clerk to join their team, responsible for managing patient accounts and ensuring accurate billing and collections. The role involves verifying diagnoses and billing codes, processing appeals, and working closely with insurance companies to resolve denied claims.
Health CareHealth DiagnosticsHospital
Responsibilities
In a professional and friendly manner, answers incoming phone calls transferred to admissions, preauthorization, and billing department. Answers admission, preauthorization, and billing questions from patients, co-workers and providers
Secures physician orders and uses all patient information for charting, billing and record keeping purposes
Verifies all patients have appropriate diagnosis and billing codes for each therapy to support medical necessity according to LCD’s and payer policies, when submitting patient billings
Keys charge information into billing and software program and produce billing
Follows all patient billings and works on denied claims in a timely manner. Works closely with insurance companies to correct denied claims
Processes appeals on accounts when appropriate
Responsible for rebilling claims when required. Responsible for contacting responsible party if additional information is requested for billing purposes. Responsible for notifying insured of insurance denials as requested
Reviews EOB’s/payments and verifies that accounts are being paid according to contract as needed
Maintains flexibility as department grows with willingness to accept additional responsibilities requested by department manager/supervisor/director
Acts professional in every situation: patient, co-worker or intradepartmental
Qualification
Required
High School graduate or equivalent
Preferred
Prior experience with coding and billing for outpatient services
Benefits
Medical, Dental and Vision Insurance
Paid Time Off (vacation, holidays and sick days) and Medical Paid Time Off
Retirement Plans (401K with up to 6% match)
Earned Quarterly Bonus Program
Education Reimbursement Program
Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital
Company
Mountain View Hospital
Mountain View Hospital focuses on the well-being of the community with inpatient, outpatient, diagnostic and rehabilitative service.