Patient Accounts - Commercial Billing Specialist - FT - 1st Shift Job at Wilson Health
Wilson Health is looking for a direct hire
Commercial
Billing Specialist for our location in
Sidney, Ohio (North Dayton, Ohio) area.
Key Perks and Benefits:
- Pay (Shift Differential, Weekend Differential, Holiday Pay, and Direct Deposit)
- Paid Time Off (Full Time & Part Time Paid Time Off)
- Insurance (Medical, Dental, Vision, Long Term & Short Term Disability, Company Paid Life, and Others)
- Retirement (Defined & Employer Contribution, Employer Match (no waiting period), and Various Investment Options)
- Education Reimbursement (Tuition & Book Fee Reimbursement)
Employment Status: Full Time (FT=36+ hours)
Working Hours: 40 hours a week (80 hours per pay period)
Shift: 1st shift
Position Reports to: Manager of Patient Accounts
Department Description: Wilson Health's Patient’s Account Department is responsible for handling the hospital billing and collection aspects of the patient’s care during the service date (The date/date(s) when care was provided to the patient from the hospital or provider).
Job Summary: The Commercial Billing Specialist is responsible for releasing insurance claims electronically and mails hard copy UB/1500 claims as required. The Commercial Billing Specialist will follow up on unpaid claims which include all Non Medicare, Medicaid or BWC claims and rebill or appeal claims as indicated.
Essential Duties & Responsibilities:
- Billing of Commercial Payers claims through electronic vendor (Quadax) which requires keeping up to date with Payer requirements and/or edits.
- Bills secondary, tertiary, etc. claims electronically or mails the UB/1500 with EOB as required by Payer.
- Works closely with all departments throughout the hospital regarding charges and/or late charges.
- Responsible for follow-up of all commercial payers.
- Works the 30 day and out worklist in Meditech and contacts Payers via phone or Payer web site regarding no pays.
- Makes contact with the patient and/or guarantor when necessary to secure payment.
- Appeals claims on behalf of the patient to secure payment or if a claim has been denied for inappropriate reasons, and follows up on the Appeal.
- Works mail as applicable to the commercial biller to secure payment.
- Works cash report daily to ensure proper payment from payers and makes appropriate adjustments as required.
- Receives phone calls from patients and/or guarantor regarding account balances, itemized bill or Explanation of Benefits.
Qualifications:
- High school diploma or general education degree (GED)
- Minimum of one year experience and/or training; or equivalent combination of education and experience.
Mission & Vision & Values:
- Improve the health and wellness of the community by delivering compassionate, quality care.
- Be a trusted, nationally-recognized leader of innovative, collaborative, community health.
- A.S.P.I.R.E - Always serve with professionalism, integrity, respect, and excellence.
EOE (Equal Opportunity Employer)
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