MercyOne · 17 hours ago
Billing Coordinator - Full Time - Days
MercyOne is a regional referral teaching hospital providing expert health care to 15 counties in Iowa. The Billing Coordinator is responsible for coordinating and processing home medical equipment referrals, verifying insurance coverage, and ensuring clean processing of claims while maintaining compliance with regulations.
Health CareHealth DiagnosticsHospitalMedicalNon ProfitPersonal HealthPrimary and Urgent Care
Responsibilities
Enters PHI data into the billing software system, including client demographics, reimbursement and billing information
Edits and corrects the CMS 1500 claim form using proper data elements for each payer, ensuring correct billing units, dates of service, codes and modifiers are used. Ensures claims are in compliance with payer regulations
Performs all functions with the objective of maximizing reimbursement to MercyOne North Iowa Home Medical Equipment and ensuring the claim is paid/settled in a timely manner. Utilizes available data and resources to make decisions for completion of claims processing and keeps unbilled claims to a minimum level. Provides Manager with statistical feedback of accounts
Communicates with other departments, physicians and their office staff, and nursing personnel as required to clarify billing discrepancies and obtain medical diagnostic information
Demonstrates flexibility and adapts to changes in workload assignments. Acts as a backup when co-workers are absent and assists in reducing others' backlog. Maintains a positive working relationship with co-workers, medical staff, and personnel from other departments. Instructs co-workers in sales order processing procedures and assists in the orientation and training of new employees
Assists customers politely, promptly, and accurately. Demonstrates good listening skills. Asks clarifying questions to meet customer's needs
Puts account notes in appropriate software systems accurately, timely and objectively. Maintains patient confidentiality
Qualification
Required
Associate Degree or business college courses that equate preferred
Completion of medical terminology course or an equivalent combination of education and experience preferred
Demonstrated competence in a medical insurance setting for six months to one year preferred
Ability to deal tactfully and diplomatically with other employees and with the public regardless of economic status, race, religion, age, sexual orientation, disability or ability to pay
Must possess sufficient logic skills to make necessary judgment expediting work flow
Must be detail orientated and able to prioritize
Ability to understand, interpret and explain insurance benefits
Knowledge of medical equipment and its uses
Must have demonstrated competence in the use of personal computer using Windows, Excel Spreadsheets and Word
Preferred
Ability to type 55 WPM
Benefits
Education Assistance offered
Effective Day 1 Benefit Package (Medical, Dental, Vision, and more) for positions 20 hours per week or greater
Competitive wages; including weekend and night differentials
Generous paid time off program
Retirement Savings program with employer match starting on Day 1
Company
MercyOne
MercyOne is a non-profit organization that provides healthcare services to communities.
Funding
Current Stage
Late StageTotal Funding
unknown2022-04-19Acquired
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