Government Billing Associate Category: Clerical Facility: Genesis Healthcare System Department: Patient Accounts Schedule: Full Time Shift: Day Shift Hours: Intradepartment candidates only / 64 bi-weekly Job Details: JOB SUMMARY Bills accurate information to government payers according to established guidelines and government regulations. Works directly with payers, physician offices and others as necessary to resolve problems resulting in correct and timely reimbursement. Responds to patient inquiries in a responsible, professional and caring manner for quality customer satisfaction. ESSENTIAL DUTIES 1. Interprets reports accurately and works requested reports within time frame established. 2. Utilizes all online technology and bills accounts electronically when possible based on availability and payer guidelines. 3. Works rejections/denials and worklist timely to prevent timely write off’s. 4. Bills secondary accounts timely when applicable. 5. Checks payer websites subscribes to list serves where applicable and is accountable to obtain necessary information from the payer/website. Uses information from website and other sources accurately and effectively. 6. Works recoupment accounts according to instructions for specific recoupment projects and is timely in response. 7. Enters denial information in the Denial System to accurately track all accounts that are not paid as expected. 8. Notifies appropriate person/department to provide information for accounts that error for CCI edits and handles accordingly. 9. Follows Other Government and Workers compensation guidelines for billing and follow up of accounts. 10. Contacts medical records as necessary (i.e. diagnosis, coding, etc). 11. Performs other functions as assigned. QUALIFICATIONS 1. Experience with healthcare insurance and/or government billing. 2. Knowledge and understanding of insurance denials and explanation of benefits. 3. Excellent interpersonal, decision-making, facilitation, conflict resolution and investigative skills. 4. Demonstrated excellence with listening, verbal and written communication skills. 5. Ability to independently prioritize and focus on multiple tasks concurrently. 6. Ability to work independently and under pressure in a complex and changing working environment. 7. Ability to work effectively with physician offices, staff from hospital departments or any resource for denial resolution. 8. Effective time management and organizational skills. 9. Excellent computer skills and knowledge of computer software, including programs such as Word, Excel. 10. Ability to provide outstanding customer service and maintain confidentiality at all times. WORKING CONDITIONS/PHYSICAL REQUIREMENTS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential function of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Works in an office environment and works on a PC for 6 – 7 hours per day. 2. Must be able to focus in a noisy environment with frequent interruptions. 3. Must be able to comprehend and apply complex material. 4. The employee is required to sit for long periods of time working on the computer, using the telephone and other business machines as required for the job. 5. Must be able to lift and/or move up to 10 pounds. 6. Vision abilities required include up close vision, peripheral vision, depth perception and the ability to adjust focus. 7. May be required to periodically rotate shifts and regular days off. All system employees must be willing to work all shifts, extra hours, holidays and emergency shifts as required. 8. Must be able to work with disgruntled individuals. This description reflects in general terms the type and level of work performed. It is not intended to be all-inclusive, nor portray the specific duties of any one incumbent. https://healthcaresource/genesishcs/index.cfm?fuseaction=search.jobDetails&template=dsp_job_details.cfm&cJobId=541173
Posted on: Mon, 17 Mar 2014 14:34:36 +0000