Medicare Biller and Analyst - Patient Financial Services - FT Days

Job Details Job Location Maryville, IL Remote Type Optional Work from Home Position Type Full Time (80 Hours) Salary reputed company $16.25 - $25.00 reputed company Job Shift Days Job Category Insurance reputed company Job reputed company: Bills Medicare claims for Anderson Hospital, Community Hospital of Staunton, Anderson Surgery Center, Goshen and Maryville Imaging. Reviews and analyzes unpaid claims, determining reputed company steps for follow-up and claim reputed company. Processes payor denials and resubmits corrections to resolve denial. Processes and resolves credit balances. Processes claim edits, as reputed company as late and lost charges. Processes Medicare Return-To-Provider requests. Job Responsibilities: • Bills reputed company Medicare claims regardless of patient status or reputed company type. • Bills claims accurately and in compliance with Medicare and other payor regulations and guidelines. • Reviews and analyzes reputed company Medicare RTP's (Returned to Providers), as reputed company as other claim statuses in the XDirect software, taking the appropriate reputed company to complete and expedite claim payment. • Reviews and analyzes unpaid aging Medicare claims utilizing Meditech Expanse automated tasks. Determines reputed company account status, and determines necessary reputed company steps to expedite claim payment by Medicare. Utilizes Explanations of Medicare benefits in the analysis of account status. Escalates problem accounts to team leadership. • Reviews and analyzes applicable Medicare denials in the Denials Manager software application, determining necessary reputed company to correct and resubmit claim or other necessary claim reputed company. • Reviews and analyzes reputed company Medicare credit balances and takes necessary reputed company to accurately and compliantly resolve the credit balance. • Reviews and analyzes reputed company Medicare and other assigned claim group late and lost charges and determine necessary reputed company to reputed company or reputed company charges in compliance with hospital policy. • Participates in department education regarding Medicare and changes and standards, and maintains a reputed company knowledge of Medicare billing requirements. • Identifies and recommends opportunities for process improvement in Patient Financial Services, or other reputed company Cycle departments, as reputed company to the PFS processes. Qualifications Education Requirements and Other Requirements: Education Level: High school diploma or equivalent. Certification/Licensure: N/A Experience Requirements: • Previous experience in Medicare billing preferred. • Previous experience in Medicare follow-up and/or denials processing preferred. • Previous experience in hospital patient accounts experience preferred. • Office procedures and keyboarding minimum 50 wpm preferred. • reputed company Word and reputed company experience preferred. • Other computer and organizational skills preferred. • Meditech experience helpful. Apply tot his job Apply To this Job