Valley View Medical Center Biller in Johnstown, Pennsylvania
Job Summary: Assure that all insurance claims are billing timely and accurately for LifePoint Health Shared Services customers.
Job Responsibilities: oBills all primary, secondary and tertiary insurance claims in a timely and accurate manner oDemonstrates working knowledge of all appropriate billing forms, UB04, 1500 or state specified forms oDemonstrates working knowledge of the electronic billing system with and understanding of edits and reports oWorking knowledge of federal, state, local and intermediary specific billing requirements to ensure appropriate authorizations are completed and/or notifies appropriate person of missing or incomplete billing requirements and follow-up in a timely manner oAudits each bill/account for charges, duplications and overlapped accounts before billing, making any necessary adjustments and documenting appropriately oResolves claim processing issues on a timely basis by reviewing claim inventories and taking appropriate action oEnsures accurate and complete clean claim submission for both paper and electronic claims in a timely manner oMaintains knowledge of methods of billing, laws, or hospital rules related to insurance claims and electronic submission claims oCompletes electronic billing system balancing daily oCommunicates timely and in a professional manner any issues or billing delays identified to immediate supervisor oIdentifies and communicates to immediate supervisor the need for any bill edits and provides necessary documentation to provide education to the appropriate department oMaintains a professional image and provides excellent customer service oAttends department meetings and education sessions oMeets/exceeds performance expectations within required timeframes. oPractices and adheres to the “Code of Conduct” philosophy and Mission and Values statement. oSupports special projects as requested. oAdheres to all LifePoint Health Business Services Policies and Procedures oPerforms other duties as assigned.
Education: High school diploma or GED required
Required Work Experience: Minimum one (1) year billing experience in a medical facility, ambulatory surgery facility, or acute-care hospital Knowledge of CPT, HCPCS, ICD-10 and medical terminology
Job: *Business Office
Organization: *Shared Business Services
Requisition ID: 7410-2463