Third Party Biller - West Bridgewater, United States - Signature Healthcare

Signature Healthcare

Verified Company

West Bridgewater, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Signature Healthcare is Southeastern Massachusetts' premier local provider of quality, personalized medical services. We are comprised of the award-winning not-for-profit Signature Healthcare Brockton Hospital; Signature Medical Group (SMG), a multi-specialty physician group of more than 150 physicians practicing in 18 ambulatory locations.

We believe our distinctive Signature Healthcare team approach is the way healthcare should be:
medical professionals across many locations communicating and collaborating, taking advantage of technologies and resources to make a difference in the lives and health of our patients.

Position Summary:

Under the direction of the Manager of Third Party billing, perform third party research functions. Sort and mail all bills (HCFA 1500) attaching any required documentation needed to receive payment (i.e. EOB for other secondary insurance, cost invoice, operative notes, etc.). Review rejection/denials from insurance carriers to determine what actions have been taken. Account resolution may require calling insurance carriers, patients, lawyers, physician offices, medical records and other third parties. Work claim edit s to fix claims that are not accepted by the payers electronically. Review aged trial balance and research outstanding patient accounts. Handle all additional follow-up required to get a claim processed and paid. Perform administrative duties when necessary such as photocopying, faxing and filing documents.

Location:

West Center Street, West Bridgewater, MA

Department:

Revenue Cycle

This is a full-time 40 hour/ week position

Responsibilities:

Functions independently within the realm of established policies and procedures. Establishes own work plan. Provides input and discusses unusual or problem accounts using Signature Healthcare Lean System, to maximize productivity and achieve team and department goals.
Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.
Commits to recognize and respect cultural diversity for all customers (internal and external).
Communicates effectively with internal and external customers with respect of differences in cultures, values, beliefs and ages, utilizing interpreters when needed
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Performs other duties as assigned_

BASIC KNOWLEDGE/SKILLS/APTITUDE/EXPERIENCE:

Minimum 2 years Hospital Billing experience required.
Requires understanding/knowledge of third party payer requirements and patient accounting procedures.
Ability to solve practical problems by getting to the root cause and deal with a variety of variables in situations where only limited standardization may exist.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Must be able to reasonably make appropriate judgment in communications and actions with patient, physicians, other associates, outside agencies, and vendors.

Education/Experience/Licenses/Technical:

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Education:

High school diploma or equivalent required.
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Experience:

Requires two years of prior experience in a hospital or healthcare billing specialist or collector position

:

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Certification/Licensure:

None Required
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Software/Hardware:

Meditech hospital information system experience preferred; PC competent

Pay:
$ $25.21 per hour

Benefits: