Billing Representative - Frisco, TX - Tenet (Frisco, TX)
Title:
Billing Representative - Frisco, TX Conifer Health Solutions is currently hiring for a Billing Representative.
JOB SUMMARY ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following.
Others may be assigned.
Review charges, patient information, and insurance information prior to billing to minimize underpayment, denials, and re-bill attempts.
Properly submit claims to primary, secondary and tertiary insurance companies with the appropriate Explanation of Benefits (EOB) attachments, if applicable.
Complete subsequent billing to third party payors to include rebills, secondary billing and/or special billing.
Work closely with the DRA/facilities to obtain any missing information required to bill the claim via the QS reporting tool.
Bill all late charges with proper billing codes, per Late Charge Workflow.
Bill claims appropriately completing billing requirements via electronic billing requirements or paper claims including any attachment of required documentation.
Notate accounts with proper activity codes for workflow back to the facilities for review of unclean claims.
Pull rejection reports (.
Not) from electronic billing system daily and notes rejections details in ACE after reviewing prior ACE billing notes.
Responsible for calling insurance company if rejection reports are unclear to determine next step needed for billing.
Monitor and report trends in payer rejections to management with examples of rejection responses.
KNOWLEDGE, SKILLS, ABILITIES Intermediate Microsoft Office (Word, Excel) Intermediate knowledge of ICD9/CPT4 codes and payor requirements Strong knowledge of National Uniformed Billing Code, and UB-04 Good verbal and written communication skills.
Good data entry skills.
Able to work in a fast paced environment and complete high volume of EDI rejections daily handling multiple facilities EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job.
High School diploma or equivalent.
Some college coursework in business administration or accounting preferred 1-2 years of experience in hospital billing or hospital collections required PHYSICAL DEMANDS Ability to sit and work at a computer terminal for extended periods of time WORK ENVIRONMENT Source:
.
Estimated Salary: $20 to $28 per hour based on qualifications.
Billing Representative - Frisco, TX Conifer Health Solutions is currently hiring for a Billing Representative.
JOB SUMMARY ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following.
Others may be assigned.
Review charges, patient information, and insurance information prior to billing to minimize underpayment, denials, and re-bill attempts.
Properly submit claims to primary, secondary and tertiary insurance companies with the appropriate Explanation of Benefits (EOB) attachments, if applicable.
Complete subsequent billing to third party payors to include rebills, secondary billing and/or special billing.
Work closely with the DRA/facilities to obtain any missing information required to bill the claim via the QS reporting tool.
Bill all late charges with proper billing codes, per Late Charge Workflow.
Bill claims appropriately completing billing requirements via electronic billing requirements or paper claims including any attachment of required documentation.
Notate accounts with proper activity codes for workflow back to the facilities for review of unclean claims.
Pull rejection reports (.
Not) from electronic billing system daily and notes rejections details in ACE after reviewing prior ACE billing notes.
Responsible for calling insurance company if rejection reports are unclear to determine next step needed for billing.
Monitor and report trends in payer rejections to management with examples of rejection responses.
KNOWLEDGE, SKILLS, ABILITIES Intermediate Microsoft Office (Word, Excel) Intermediate knowledge of ICD9/CPT4 codes and payor requirements Strong knowledge of National Uniformed Billing Code, and UB-04 Good verbal and written communication skills.
Good data entry skills.
Able to work in a fast paced environment and complete high volume of EDI rejections daily handling multiple facilities EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job.
High School diploma or equivalent.
Some college coursework in business administration or accounting preferred 1-2 years of experience in hospital billing or hospital collections required PHYSICAL DEMANDS Ability to sit and work at a computer terminal for extended periods of time WORK ENVIRONMENT Source:
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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