Facility: VIRTUAL-GA

Job Summary:

This role sits remote and is Monday - Friday 8am-5pm

Responsible for first time billing of either governmental or non-governmental claims to third party payors. Capable of reviewing and troubleshooting claims within the billing system to correct errors, edits, or nuances preventing a bill from going to the payer.

Core Responsibilities and Essential Functions:

EPIC Workqueues-Maintains billing workqueues assigned by alpha or groupings which generates claim edits requiring billing intervention to create clean claims. Payor Rejections-Maintains and corrects claims returned to the biller workqueue in EPIC that have been rejected by the payor. Denials-Maintains and corrects claims returned to the biller workqueue in EPIC that have been denied by the payor. Training-Able to train billing specialist to work billing edits, claim errors, and denials within the billing system Communication-Able to effectively communicate with ancillary departments to resolve claim issues to expedite bills to payers.

Required Minimum Education:

High school diploma Required or
GED equivalent Required

Required Minimum Experience:

Minimum 2 years experience in insurance billing in hospital environment; Microsoft Word and Excel experience Required

Required Minimum Skills:

Experience in Excel and Word.
Demonstrates a general knowledge of medical terminology, ICD9-CM, ICD10-CM, and CPT procedure codes relative to hospital practices.
Competent written and oral communication skills, time management organization, and an attention to detail. Displays strong knowledge of analytical and problem solving skills. Is able to train Billers on billing edits, claim errors and denials.