Medicare Hospital Biller

Job description At Ethos, we help/service AHMC hospitals on their revenue cycle objectives. The Medicare Government Representative is responsible for the accurate and timely billing, follow up, and collections of claims to government intermediaries and/or secondary payors. This position performs a variety of duties and responsibilities related to billing and collection for timely and accurate claim submission, resolution on non-payment of accounts, addressing billing questions, reviewing patient accounts, and follow-up. The Medicare Government Representative is expected to maximize cash flow, be familiar with current regulatory requirements, electronic and hard copy billing, and UB04 billing formats

Major Responsibilities/Activities:

Responsible for assigned accounts and maintains a daily average of 80-100 claims. Reviews, corrects, and edits UB04 claim forms for electronic/hard copy claim submission in accordance with department billing policies and Medicare/CMS guidelines Communicates errors and/or missing information regarding patient's insurance, charges, coding, etc. to the corresponding departments, billing communication logs, identifies necessary corrections, and resubmits claims returned on electronic rejection reports daily. Reviews Direct Data Entry for returned, rejected, and denied claims Responsible for timely follow up of Medicare balances, including unpaid claims, review of underpayment, review of denials, and processing appeals. Abides by Ethos Management's Code of Conduct and HIPAA compliance standards. Performs other duties as assigned.

Qualifications/Skills &Knowledge Requirements:

Minimum 1 year of recent hospital insurance billing experience in an automated environment. Must be familiar with Medicare's Direct Data Entry system Knowledge of Medicare benefits and billing guidelines Knowledge of

NCCI, LCD

requirements Proficient in Microsoft Word and Excel Knowledge of medical terminology Understanding of CPT, ICD10, and HCPCS codes High School Diploma or equivalent required

Job Type:

Full-time Pay:

$23.00 - $26.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance

Schedule:

8 hour shift Monday to Friday Application Question(s): Have you completed the following level of education: High school or equivalent? Are you able to commute to this job's location?

Experience:

Medical billing: 1 year (Required)

Managed Care Billing:

1 year (Required)

Hospital Billing:

1 year (Required)

Work Location:

In person