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Billing Representative

Company: Hosparus
Location: Louisville
Posted on: January 14, 2019

Job Description:

Position Summary: The Billing Representative is responsible for generating and processing all billing for Hosparus Health. The Billing Representative must maintain relationships and be in constant contact with the financial intermediary, Medicare, Medicaid, and payors to enable timely research and resolution of problems with patient billing. Position Duties & Responsibilities: Reviews status changes for accuracy and completeness and makes updates to the status module as appropriate. Follows up and analyzes outstanding patient accounts and takes necessary action to resolve the account. Attends departmental meetings and webinars. Assists with coverage for insurance verification and admissions as needed. Works with Patient Benefits Representative to ensure proper authorization and/or resolve authorization issues. Monitors levels of care for accuracy and works with teams to resolve discrepancies. Generates and processes all activity related to billing on a monthly basis. Processes 81As, MAP forms and other transactions timely as needed upon admission. Ensures all primary, secondary and physician claims are processed timely and accurately. Monitors aging reports continuously to ensure timely follow up of all claims. Generates corrections as needed and resubmits corrected claims timely. Creates requests for adjustments as appropriate. Posts and reconciles payments and ensures balance to general ledger each month. Ensures accurate transmission and receipt of monthly billing and electronic file. Maintains communication with appropriate payers as needed to ensure timely resolution to all claims. Utilizes electronic clearing house/systems to monitor and generate all corrections with payers. Resolves inquiries from patients, staff and hospital/nursing home providers regarding billing issues to expedite reimbursement. Other duties, as assigned. Organizational Duties & Responsibilities: Supports the mission, vision, values and standards of behavior of Hosparus Health. Facilitates and adheres to policies and procedures and Hosparus Health code of conduct, which includes our standards of behavior. Supports all functions that attain and maintain accreditation and compliance with regulatory agencies. Exhibits effective communication skills including proper use of agency communication systems. Participates in appropriate professional development programs to attain and maintain competency. Effectively manages financial and physical resources to achieve the mission of the organization. Position Qualifications: High school diploma required. 2-4 years of medical billing or other medical field-related experience, including Medicare, Medicaid and other third parties required. 3-5 years of general office experience required. Equal Opportunity/Affirmative Action Employer: Minorities/Females/Disabled/Veterans

Keywords: Hosparus, Louisville , Billing Representative, Accounting, Auditing , Louisville, Kentucky

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