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Medical Biller : Patient Accounts Spec. I

JOB DESCRIPTION

Medical Biller: Patient Account Specialist I

Essential Duties and Responsibilities, while maintaining or exceeding 95% of established productivity goals and quality standards:

  • Review charges, patient information, an insurance information prior to billing to minimize underpayment, denials and re-bill attempts.
  • Verifies successful import of claims from host system daily. Reconciling both number of claim count as well as dollars of daily import.
  • Works additional daily reports (72-hr report, prior day rejection report, etc.) to ensure these claims are added timely to the daily transmission.
  • Timely submission of clean, accurate claims of all hospitals assigned either electronic or paper according to payer/hospital requirements and following specific state and federal guidelines per established procedures. To include primary, secondary, and tertiary insurance companies with the appropriate explanation of benefits (EOB).
  • Works errors and halted claims daily. Ensures additional transmission of the corrected claims are completed by end of day or designated time depending on facility.
  • While promoting a paperless environment, selects and prints any claims designated as paper (once errors have been corrected) and identifying potential electronic customers.
  • Mails paper claims daily attaching any additional pertinent documentation necessary to ensure prompt adjudication and payment of the claim.
  • Assure claims needing additional information from facility (i.e. medical records, authorization numbers etc.) is added to appropriate request log to ensure timely completion of claims transmission.
  • Consistently follows established processes and procedures for all assigned accounts and projects to ensure prompt payments and account resolutions, ensuring proper account documentation that is clear, concise and includes all pertinent information.
  • Makes appropriate and necessary corrections to patient account information after verification from the facility as needed to ensure timely correction and submission of claim. Immediate and appropriate escalation of payor trends and issues to management which impact cash, aging and processes.
  • Ensures professional verbal and written communication with facilities, clients and co-workers following established guidelines. Obtains management approval when necessary to communicate with external clients about internal processes and procedures.
  • Follows and maintains patient, account and client confidentiality at all times. Adheres to HIPAA and Compliance Policy Guidelines, guidance of direct manager/supervisor as well as company policy. Seeks assistance when needed from direct manager/supervisor, as well as daily time keeping and attendance policy.
  • Acts in accordance with company's core values of Integrity, Initiative, respect, commitment, performance and customer satisfaction.

Educational and Experience Requirements:

  • High School diploma or GED.
  • Minimum of two (2) years hospital claims billing experience
  • Rules and Guidelines governing billing activities
  • Specific Knowledge of Commercial, Third Party Insurance Accounts including but not limited to Medicare, Managed Care, HMO, PPO, Auto and Work Comp.
  • Basic Computer Knowledge:
    • Programs: Microsoft Word, Excel.
    • Software: SSI, ePremis, Emdeon, etc.

LOCATION

Plano, Texas 75093

PAY

$18

APPLY FOR JOB

While other medical staffing agencies focus on transactions, we focus on the heart of your mission — caring for others.

Caring for others isn’t a vocation—it’s a passion, a true calling. It is challenging and rewarding in ways that are beyond measure. It can also be difficult. At Snelling, we understand that HIPPA laws and the Affordable Care Act have ushered in a new wave of complexity and demands that make your job tougher. Not all medical staffing agencies are as enlightened.

Whether you are part of a large healthcare organization, a small private practice or a medical professional looking for a new opportunity, Snelling delivers expert service other medical staffing agencies simply can’t match.

Can staffing agencies bridge the gap? Snelling can.

When you strategize with one of our account reps, you leverage years of expertise in human capital—which frees you up to focus on all the other demands of your business.

We’re more than a staffing agency. We’re your advocate. We understand how stressful and time consuming finding the right talent can be. We make it less stressful. Unlike other staffing agencies, we listen. We counsel. We carefully vet every candidate through a rigorous interview and screening process before we present them to you.

We’re not a “business-as-usual” staffing agency. We’ve weathered seismic shifts in the economy, education, information technology and hiring best practices—always keeping in mind that our clients come first. Through it all, we’ve adapted, we’ve evolved and emerged uniquely qualified to serve you in ways other staffing agencies simply can’t.

Partner with a real advocate.

Our professional acumen, deep connections in the medical industry and community—along with a client-centric approach — set us apart from other medical staffing agencies. We provide qualified, properly credentialed, thoroughly-vetted candidates to meet your needs. Just as importantly, we offer a broad scope of staffing solutions — professional search, direct-hire, temp-to-hire and contingent (temporary) — for a spectrum of medical positions, including:

Administrative
Allied Health
Clinical Research
Government Healthcare
Medical Coding
Nursing (every area of specialty)
Nurse Practitioner
Physician Assistants
Therapy – Physical, Occupational, Respiratory, Speech
More

Do other medical staffing agencies seem more interested in getting a commission than understanding your needs? Do they miss the mark when it comes to ensuring all the details are in order — competency testing, credentialing, background and reference checks?

At Snelling, our approach isn’t transactional — it’s thorough. We understand how stressful and time consuming looking for your best-fit can be—whether you are a candidate or an employer.

Let us help you with your job search.

Tired of sending your resume into cyber space and dealing with medical staffing agencies that don’t return your call, don’t speak your language? You need Snelling. We listen. We mentor. We provide you with personalized one-on-one help whether you are looking for permanent or PRN assignments.

Ready to get started? Reach out to a Snelling rep now.