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Billing and Posting Resolution Provider jobs in United States
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TruBridge · 1 day ago

Billing and Posting Resolution Provider

TruBridge is a company providing complete business office services for hospitals and clinics. The Billing & Posting Resolution Provider acts as a liaison, responsible for billing insurance companies and pursuing claim collections until payment is made.
Hospital & Health Care

Responsibilities

Prepares and submits hospital, hospital-based physician and clinic claims to third-party insurance carriers either electronically or by hard copy billing
Secures needed medical documentation required or requested by third party insurances
Follows up with third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains
Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers
Responsible for consistently meeting production and quality assurance standards
Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer
Updates job knowledge by participating in company offered education opportunities
Protects customer information by keeping all information confidential
Processes miscellaneous paperwork
Ability to work with high profile customers with difficult processes
May regularly be asked to help with team projects
Ensure all claims are submitted daily with a goal of zero errors
Timely follow up on insurance claim status
Reading and interpreting an EOB (Explanation of Benefits)
Respond to inquiries by insurance companies
Denial Management
Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles
Review late charge reports and file corrected claims or write off charges as per client policy
Review reports identifying readmissions or overlapping service dates and ignore, merge, or split-bill according to the payer’s rules and the client’s policy
Review credit reports, resolve credits belonging to a payer when able, and submit a listing of credits to the facility as required by the payer

Qualification

Medicare Billing ExperienceUB1500 billingCPTICD-10 codingMedical terminologyClaim appeals experienceComputer skillsMulti-taskingVerbal skillsCommunication skillsConfidential information handlingWritten skills

Required

Medicare Billing Experience Required
UB and 1500 billing Medicare DDE required
Computer skills
Experience in CPT and ICD-10 coding
Familiarity with medical terminology
Ability to communicate with various insurance payers
Experience in filing claim appeals with insurance companies to ensure maximum reimbursement
Responsible use of confidential information
Strong written and verbal skills
Ability to multi-task

Company

TruBridge

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TruBridge is a healthcare solutions company with focus on EHR-agnostic Revenue Cycle Management solutions for organizations of all sizes and acute EHR technology to service smaller hospitals.

Funding

Current Stage
Late Stage

Leadership Team

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Brenda Trigg, CRCS
CBO Manager
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Todd Munshaur
Director, Channel Partners
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Company data provided by crunchbase