OTHER

FEED

UNKNOWN

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. office responsibilities related to patient accounts, including charge import, diagnostics and procedural coding, and claim follow-up with third-party payers to achieve a zero-balance resolution.

Overview:
Under general supervision, the Hospital Billing and Follow-Up Specialist handles essential billing and insurancefollow-up functions. This role requires a fundamental understanding of insurance claim processing, knowledgeof UB and HCFA claim forms, and the ability to interpret insurance explanation of benefits (EOBs), handledenials, and perform follow-up with insurers to ensure claims resolution. The position encompasses businessoffice responsibilities related to patient accounts, including charge import, diagnostics and procedural coding,and claim follow-up with third-party payers to achieve a zero-balance resolution.

Special Instructions:
This position has to possibility of being remote after 6 months, per managers discretion

Responsibilities:
Promote the mission, vision, and values of the organization· Import charges from queues in a timely manner and append modifiers or any requiredinformation for claim transmission· Review daily accounts that are ready to be billed in Waystar from Meditech· Initiate correction on all claims with errors by the designated time· Follow up on any correspondence that may have been received on that day or theprevious day· Cross train on billing all lines of business to the different payers· Pull listing of all accounts assigned to be follow up by specific payer· Diagnostic and procedural codingFollow-Up Responsibilities· Responsible for the resubmission of primary, secondary, and tertiary claims per respective regulations andpolicies.· Communicate with third-party representatives as necessary to complete claims processing and /or resolveproblem claims.· Follow-up daily on post processing activity including but not limited to, rejected billings, adjustments, andrebilling, and denied claims for accounts.· Maintain accounts receivable detail of their accounts through tasking.· Maintains standards per payer for percentage accounts >90 days.· Works minimum standard number of accounts per payer per day.· Meets or exceeds collection goals by payer each month.· Works all assigned accounts as assigned, depending on balance.· Participates in educational activities and attends monthly department staff meetings.· Maintains confidentiality: adheres to all HIPAA guidelines/regulations.· Other duties as assigned from time to time.· Attend educational activities and monthly department staff meetings· Perform other duties as assigned 

Qualifications:
Education· High School Diploma or GED Minimum Work Experience· Six months previous experience in hospital registration, billing and collections, financial counseling, or customer service preferred Required Skills, Knowledge, and Abilities· 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

Appalachian Regional Healthcare, Inc.

Hospital Billing Specialist

Accounts Receivable

Accounts Receivable Management

Billing

Centers for Medicare and Medicaid Services (CMS)

Claims Processing

Communication Skills

Computer Skills

Credit and Collections

Current Procedural Terminology (CPT)

Customer Support/Service

Exceeded Sales Goal

HIPAA (Health Insurance Portability and Accountability Act)

Hospital Administration

ICD-9

Insurance

Insurance Documentation

MEDITECH

Medical Billing

Medical Coding

Medical Terminology

Presentation/Verbal Skills

Regulations

Third-Party Payer

Time Management

Typing

Writing Skills

[AW]-iCims

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Hospital Billing SpecialistAppalachian Regional Healthcare, Inc.

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