Hospital Billing Specialist

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  "location": {
    "raw": "Whitesburg, KY, US",
    "city": "Whitesburg",
    "region": "KY",
    "country": "United States",
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  "remote_policy": "remote",
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  "json_ld": {
    "url": "https://careers-arh.icims.com/jobs/37585/hospital-billing-specialist/job",
    "@type": "JobPosting",
    "title": "Hospital Billing Specialist",
    "@context": "http://schema.org",
    "datePosted": "2024-06-06T19:24:13.763Z",
    "description": "<h2>Overview</h2>\n<p>Under general supervision, the Hospital Billing and Follow-Up Specialist handles essential billing and insurance</p>\n<p>follow-up functions. This role requires a fundamental understanding of insurance claim processing, knowledge</p>\n<p>of UB and HCFA claim forms, and the ability to interpret insurance explanation of benefits (EOBs), handle</p>\n<p>denials, and perform follow-up with insurers to ensure claims resolution. The position encompasses business</p>\n<p>office responsibilities related to patient accounts, including charge import, diagnostics and procedural coding,</p>\n<p>and claim follow-up with third-party payers to achieve a zero-balance resolution.</p>\n<h2>Special Instructions</h2>This position has to possibility of being remote after 6 months, per managers discretion\n<h2>Responsibilities</h2>\n<p>Promote the mission, vision, and values of the organization</p>\n<p>· Import charges from queues in a timely manner and append modifiers or any required</p>\n<p>information for claim transmission</p>\n<p>· Review daily accounts that are ready to be billed in Waystar from Meditech</p>\n<p>· Initiate correction on all claims with errors by the designated time</p>\n<p>· Follow up on any correspondence that may have been received on that day or the</p>\n<p>previous day</p>\n<p>· Cross train on billing all lines of business to the different payers</p>\n<p>· Pull listing of all accounts assigned to be follow up by specific payer</p>\n<p>· Diagnostic and procedural coding</p>\n<p>Follow-Up Responsibilities</p>\n<p>· Responsible for the resubmission of primary, secondary, and tertiary claims per respective regulations and</p>\n<p>policies.</p>\n<p>· Communicate with third-party representatives as necessary to complete claims processing and /or resolve</p>\n<p>problem claims.</p>\n<p>· Follow-up daily on post processing activity including but not limited to, rejected billings, adjustments, and</p>\n<p>rebilling, and denied claims for accounts.</p>\n<p>· Maintain accounts receivable detail of their accounts through tasking.</p>\n<p>· Maintains standards per payer for percentage accounts >90 days.</p>\n<p>· Works minimum standard number of accounts per payer per day.</p>\n<p>· Meets or exceeds collection goals by payer each month.</p>\n<p>· Works all assigned accounts as assigned, depending on balance.</p>\n<p>· Participates in educational activities and attends monthly department staff meetings.</p>\n<p>· Maintains confidentiality: adheres to all HIPAA guidelines/regulations.</p>\n<p>· Other duties as assigned from time to time.</p>\n<p>· Attend educational activities and monthly department staff meetings</p>\n<p>· Perform other duties as assigned</p>\n<p> </p>\n<h2>Qualifications</h2>\n<p><strong>Education</strong></p>\n<p>· High School Diploma or GED</p>\n<p><strong>Minimum Work Experience</strong></p>\n<p>· Six months previous experience in hospital registration, billing and collections, financial counseling, or customer service preferred</p>\n<p><strong>Required Skills, Knowledge, and Abilities</strong></p>\n<p>· Knowledge of medical terminology preferred · Basic computer proficiency · Typing speed: minimum 40 WPM · Familiarity with CPT and ICD-9 coding is helpful · Good written and verbal communication skills are essential for account follow-up</p>",
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          "postalCode": "41858",
          "addressRegion": "KY",
          "streetAddress": "240 Hospital Road",
          "addressCountry": "US",
          "addressLocality": "Whitesburg",
          "postOfficeBoxNumber": "UNAVAILABLE"
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    "validThrough": "2027-06-06T19:24:13.763Z",
    "employmentType": "OTHER",
    "hiringOrganization": {
      "name": "Appalachian Regional Healthcare, Inc.",
      "@type": "Organization",
      "sameAs": "www.arh.org"
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