Experienced Medicare Biller
- TruBridge, Inc
- Remote - US
- 4mo ago
- Full-Time
- Remote
...
- Prepares and submits hospital, hospital-based physician and Rural Health Clinic claims to Medicare either electronically or in DDE
- Secures needed medical documentation required or requested by Medicare
- Follows up with Medicare on unpaid claims till claims are paid or only self-pay balance remains.
- Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to Medicare or third-party insurance carriers.
- Responsible for consistently meeting production and quality assurance standards.
- Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer.
- Updates job knowledge by participating in company offered education opportunities.
- Protects customer information by keeping all information confidential.
- Processes miscellaneous paperwork.
- Ability to work with high profile customers with difficult processes.
- May regularly be asked to help with team projects.
- Ensure all claims are submitted daily with a goal of zero errors.
- Timely follow up on insurance claim status.
- Reading and interpreting an EOB (Explanation of Benefits).
- Respond to inquiries by insurance companies.
- Denial Management.
- Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles.
- Review reports identifying readmissions or overlapping service dates and ignore, merge, or split-bill according to the payer’s rules and the client’s policy.
- Review credit reports, resolve credits belonging to a payer when able, and submit a listing of credits to the facility as required by the payer.
- Minimum Requirements:
- Education/Experience/Certification Requirements
- · At least 3 years’ hospital billing experience, can include time outside of TruBridge
- · Medicare DDE experience required
- · Experience in CPT and ICD-10 coding preferred
- · Experience in filing claim appeals with insurance companies to ensure maximum reimbursement preferred
- · Excellent communication (written and oral) and interpersonal skills.
- · Strong organizational, multi-tasking, and time-management skills.
- · Must be detail oriented and able to follow through on issues to resolution.
- · Must be able to act both independently and as a team member.
- · High School Diploma or equivalent combination of education and relevant experience needed.
- · Excellent critical thinking, organizational, and time management skills with a strong attention to detail, accuracy, and follow through
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