Employer: Ensemble Health Partners
Scope of Responsibility:
- Works failed bills/claims in host and billing vendor. Works 277’s, rebills and late charges.
Job Description:
- Job duties include but are not limited to performing daily billing tasks: Works daily failed bill, failed claims on host system and failed claims within billing vendor.
- Works late charges, re-bill’s, & any additional assigned reports. Updates to Excel reports capturing status of accounts billed/not billed.
- Pulls documents for audits updating tracking sheets of the audit status. Prints and mails hardcopy claims along with any additional documentation need with the claims.
- They will perform these duties while meeting the mission and goals of Ensemble Health Partners, as well as meeting the regulatory compliance requirements.
Essential Functions:
- Reviews/Updates failed bills & claims on host system and within billing vendor. Works daily electronic 277’s resolving claim issues. Works daily late charges & rebills. Bills hardcopy claims attaching any needed documentation for payment. Pulls EOB’s and Medical Records as needed attaching to claims and mailing. Contact patients, insurance, any third party for insurance information or any additional billing data. Contact patient and third parties for needed billing information.
- Performs rebill projects and additional daily reports
- Performs other duties as assigned
- Assists with creation/upkeep of training documents
- The above is intended to describe the general content and functions of this job. It is not to be construed as an exhaustive list of all duties or responsibilities.
- Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. The job description is subject to continual revisions as needed for patient care.
- Due to the services and care provided by this institution, personnel may be requested to serve in related capacities as determined by their qualifications in a different unit, department, and campus, in an effort to not disrupt patient care and continue to provide a safe environment to our patients.
- All employees are expected to follow Ensemble Health Partner’s policies and procedures, maintain high standards of safe work performance, and maintain good attendance and punctuality.
Required Minimum Education:
- High School Diploma or GED
Minimum Years and Type of Experience:
- 2 years of an accredited degree or equal experience in hospital billing.
- Internal candidate must have met 100% productivity and 95% quality assurance for the prior 3 months.
- Internal candidates must not have any disciplinary action within the 6-month period prior to application.
Other Knowledge, Skills and Abilities Required:
- Must have billing experience on multiple payers or a SME for one payer.
- Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel.
- Must pass typing test of 35 words per minute (error adjusted).
- Must complete billing level 1 test and external candidate must take the revenue cycle test.
PHYSICAL REQUIREMENTS:
- Preforms repetitive tasks/motions
- Hears alarm bells, telephone, and other sounds
- Hears normal conversation
Scheduled Weekly Hours: 40
Work Shift: Days (United States of America)
We’ll also reward your hard work with:
- Great health, dental and vision plans
- Prescription drug coverage
- Flexible spending accounts
- Life insurance w/AD&D
- Paid time off
- Tuition reimbursement
- And a lot more