Company:

Emerus Holdings Inc.

Location:

The Woodlands, TX Career Level:

Associate Industries:

Healthcare, Pharmaceutical, Biotech Description The purpose of this position is to complete the timely and accurate submission of claims (i.e. insurance companies, Medicare and Medicaid, employers, individuals, etc.) for health services provided by the company to ensure prompt payment. Basic Qualifications High School Diploma or GED, required 3+ years medical billing experience, required Expert knowledge of the

UB-04/CMS-1450

claim form, required Knowledge of state and Federal payment laws, required Experience using a 10-key adding machine, required Proficiency with Microsoft Office (Microsoft Word, Excel and Outlook), required Position requires fluency in English; written and oral communication Essential Job Functions Complete daily billing process and ensure successful completion Review and correct all claims returned by the clearinghouse, payer, or from internal edits Follow-up and investigate any billing errors returned from payers. Work with respective team members/supervisors for resolution Suggest billing component changes as necessary for payers Work various reports (discharge not final billed, billing exceptions, etc) to ensure accurate classification of accounts and to ensure that all accounts have been final billed Complete billing requests from team members for submission of claims not received by the payer and corrected claims as identified Review and update demographic/guarantor/insurance data obtained in the registration process as necessary Track claims made by the company to ensure successful transmission and receipt Other Job Functions Attend staff meetings or other company sponsored or mandated meetings as required Perform additional duties as assigned Willingness and ability to work overtime