Accounts Receivable Specialist Billing
: Job Details :

Salary: 20.46-30.70 USD

Facility: Administrative Regional Training Cntr

Shift: Shift 1

Status: Full Time FTE: 1.000000

Bargaining Unit: ACE Associates

Exempt from Overtime: Exempt: No

Work Schedule: Days

Hours:

8-4

Summary:

The Revenue Management Center supports the revenue cycle for all of the acute care sites and related departments, service lines and business units organized within the acute care site of Mercy Hospital, Sisters of Charity Hospital including the St. Joseph Campus, Kenmore Mercy Hospital, and Mount St. Mary's Hospital. Combined this consolidated base has approximately 1065 beds, over 55,400 annual inpatient visits, over 1.346 million outpatient visits and over 163,000 emergency room visits. This consolidation makes up approximately 90% of total Catholic Health net revenue in excess of approximately $1 billion annually.

This position has responsibility for ensuring all patient encounters are accurately completed for demographic and charge information. Additionally, all claims must be in compliance with federal, state and contracted payer requirements and regulations and processed for payment within all timely filing requirements. Responsibilities for this position include, but are not limited to, the following : (1) Review of all claims for accuracy of demographic and charge information (2) Review of all work lists to identify errors or issues with billing and correct the issue for billing (3) Review and process all response files from electronic submissions and other relevant systems to perform accurate billing (4) Provide review of the first fourteen days of follow up on the claim to ensure proper receipt of the claim by the insurance company or State/Federal agency. A high level of customer service is expected in this role at Catholic Health.

Responsibilities:

EDUCATION

• High School diploma

• Graduate of a certificate program for Medical Billing Program preferred

EXPERIENCE

• Medical Billing experience preferred

KNOWLEDGE, SKILL AND ABILITY

• Demonstrates knowledge of third party billing procedures

• Knowledge of claims review and process

• Strong computer skills (MS Word and Excel preferred)

• Excellent written and oral communication skills

• Excellent organizational skills

• Ability to work well with others

• Dependable in both production and attendance

• Self-Motivated

WORKING CONDITIONS

• Normal heat, light space, and safe working environment; typical of most office jobs

REQNUMBER: 33312