Billing Specialist Position Available In Washington, Maine

Billing Specialist Machias, ME
Job Type
Full-time
Description

JOB SUMMARY AND SCOPE

To seek reimbursement for hospital patient accounts by accurately billing third party payors and patients, and performing follow-up as necessary to secure payment for each patient account.

ESSENTIAL JOB FUNCTIONS

Reviews bills daily as they are printed and edits bills as necessary in preparation for submission to third party payors
Reviews daily rejections from third party payors and re-submits within 5 business days.
Contacts third party payors to seek information and to solve problems that arise during the reimbursement process
Meets with patients to solve problems with patient accounts
Reviews a monthly aged trial balance in order to prevent accounts from aging past filing limits and takes corrective action
Manage assigned accounts to an average of 50-60 days in AR, or as assigned.
Keeps abreast of new laws, compliance and changes in third party billing process
Reviews various reports for overpayments, late posted charges, incorrectly posted charges and payments, and takes corrective action, being mindful of applicable filing limits.
Processes credit balances due to overpayments in accordance with hospital policy
Works with appropriate hospital departments to coordinate the reimbursement process
Accepts cash payments and prepares receipts
Processes hospital mail
Seeks out needed information by staying informed and involved by attending meetings, reading memos, policies, meeting minutes, newsletters, email and other appropriate information in a timely manner.
Reliable attendance and punctuality, including observing appropriate break times and extending a a
Performs duties in a safe manner, in compliance with all safety policies and procedures
Complies with the Code of Conduct and all appropriate policies and procedures
Other duties, as assigned, that are relevant to the position and department
Requirements

MINIMUM REQUIREMENTS

Associates Degree in Business or two years related experience

PHYSICAL EFFORT AND ENVIRONMENT

Moderate:

Occasionally lifts up to 25 pounds independently. Occasionally pushes/pulls 100 pounds. Stands or walks often.

EXPOSURE RISK

Exposure Category III:

Employee not reasonably expected to be at risk for exposure to blood borne pathogens.

QUALITY IMPROVEMENT

Maintains current knowledge of the hospital-wide Quality Improvement Program.
Collaborates with management to improve the effectiveness of the department through the Quality Improvement plans and processes.
Participates in the departmental and hospital-wide Quality Improvement activities as directed by the manager.

COMPLIANCE

Adheres to the federal, state, and local statutes and regulations.
Adheres to the Compliance Program policies and procedures of Down East Community.
Adheres to all Privacy and Security policies and procedures of Down East Community.
Communicates any concern related to compliance issues to manager of department or Compliance Officer.
Communicates any concern related to confidentiality issues to the Privacy Officer. •DECH is an equal opportunity employer.