3rd Party Insurance Biller – 9505

Category:

General Opportunities

Department:

Patient Accounts Center

Scope of Responsibility:

Interviews patients, representatives and reviews information from other departments and edits or updates accounts with information if needed.  Thorough understanding of statement cycle, collection events, collection letters, mail or any other correspondence such as explanation of benefits, and adjustment batches.  Utilizes approved Internet websites to help in collection of balances and keep updated on governmental and other agency rules and regulations.   Understands provider based billing and hospital collection policy and guidelines and discusses with patient or representative as needed.  Thorough knowledge of SSI electronic claims system, and Meditech BAR, PBR, APR, and PWM modules.  Maintains current information of billing procedures, including but not limited to, proper claim forms, appeals, bundled or late charges, non-covered and denied charges, non billable charges, advance beneficiary notices, and overpayments, according to government or other agencies and their regulations.  Maintains integrity of accounts according to those rules and regulations.

education Requirements:

High school graduate or GED equivalent.  Requires typing and computer skills, multi-tasking capabilities, and good interpersonal skills.  Knowledge of ICD-9, ICD10, CPT coding, Medical terminology, and hospital or physician office billing helpful.

Opportunity Type:

Full-Time

Shift:

8:00 am – 4:30 pm

SCHEDULE:

40 hrs/wk

mailto:cknudson@aboutsmh.org

Biller Medicare/Medicaid – 9456

Category:

General Opportunities

Department:

Patient Accounts

Primary Duties:

Interviews patients, representatives and reviews information from other departments and edits or updates accounts with information if needed. Thorough understanding of statement cycle, collection events, collection letters, mail or any other correspondence such as explanation of benefits, and adjustment batches.  Utilizes approved Internet websites to help in collection of balances and keep updated on governmental and other agency rules and regulations.   Understands provider based billing and hospital collection policy and guidelines and discusses with patient or representative.  Thorough knowledge of SSI electronic claims system, and Meditech BAR, PBR, APR, and PWM modules.  Maintains current information of billing procedures, including but not limited to, proper claim forms, appeals, bundled or late charges, local medical review policies, non-covered charges, denied charges, non billable charges, advance beneficiary notices, and overpayments, according to government or other agencies and their regulations.  Maintains integrity of accounts according to those rules and regulations.

Education Requirements:

High school graduate or GED equivalent. Requires typing and computer skills, multi-tasking capabilities, and good interpersonal skills.  Knowledge of ICD-9, ICD10, CPT coding, Medical terminology, and hospital or physician office billing helpful.

Opportunity Type:

Full-time

Shift:

8:00 am – 4:30 pm

Schedule:

40 Hrs/Wk

Phone Contact:

815-664-1353

E-mail Contact:

mailto:cknudson@aboutsmh.org

CASHIER – 9504

Category:

General Opportunities

Department:

Patient Accounts Center

Scope of Responsibility:

Receive daily logs, receipts, and payments for patient and miscellaneous accounts.  Process and trouble shoot SSI-HARP module for electronic remit posting for Blue Cross and Medicare.  Total all receipts, and logs to assemble daily balance recap sheet to match daily cash deposit.  Enter BAR, PBR, and Hospice Home Care/Maestro batches for all money received within the hospital and other departments and apply to appropriate patient account or general ledger account.  Enter managed care and other discounts to proper patient accounts, including checking accuracy according to contract agreement.  Report bad debt recovery to appropriate collection agency including comparing agency balance to hospital balances and resolving any discrepancy.  Copy and distribute explanation of benefits or other documents regarding credit balances, zero payments, denials, or secondary billing. Verifies refund checks with accounting logs for final processing.

education Requirements:

High school graduate or equivalent required.

Minimum Qualifications:

Requires typing, computer skills, calculator keying, and good interpersonal skills.  Accounting or data entry experience helpful.

Opportunity Type:

Full-Time

Shift:

8:00 am – 4:30 pm

SCHEDULE:

40 hrs/wk