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Billing Specialist Job at Cross Road Health Ministries, Inc.

Cross Road Health Ministries, Inc. Delta Junction, AK 99737

Position Summary:

The Billing Specialist is responsible for preparing and maintaining client insurance records, filing insurance claims, and managing accounts receivable while providing excellent customer service when responding to inquiries concerning patient accounts.

Duties:

  • Performs patient billing to ensure timeliness, accuracy and compliance with law.
  • Posts payments and adjusts patient accounts on both medical and Rx systems.
  • Runs, verifies and submits patient billing, third party, collections and related reports.
  • Monitors patient accounts receivables to maintain a 90% collection ratio.
  • Identifies and processes delinquent patient accounts.
  • Responds to inquiries concerning patient accounts.
  • Investigates, resubmits, refiles and/or files third party claims appeals, if appropriate.
  • Remain current with standards of health care billing practices.
  • Process hardcopy claims, Worker’s Compensation, Veterans, and claims that are not electronically sent.
  • Process secondary claims, copy Explanations of Benefits from primary insurance; send per HIPAA rules.
  • Rebill delinquent insurance claims.
  • Follow-up on denied claims, appeal, call, rebill.
  • Process bad address report and returned mail; correct if possible and resend bills.
  • Runs Credit Balance Report quarterly for Medicare.
  • Operates specialized office equipment.
  • Acts as back-up to Front Office Receptionists as necessary.
  • Processes check payments, deposit slips, and direct deposit payments, including taking deposits to the bank as necessary.
  • Pick up and drop off mail at the post office.
  • Participates in continuous quality improvement activities.
  • Comply with all policies of CRHM.
  • Agrees to actively support and promote the mission and values of CRHM.
  • Other related duties incidental to the work described herein.



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