Join St. Elizabeth HealthcareAt St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio.
We're guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do.We invest in you — personally and professionally. Enjoy:Competitive pay and comprehensive health coverage within the first 30 days.Generous paid time off and flexible work schedulesRetirement savings with employer matchTuition reimbursement and professional development opportunitiesWellness, mental health, and recognition programsCareer advancement through mentorship and internal mobilityJob SummaryThis position is responsible for the accurate and timely billing and collection of assigned accounts using computerized patient accounting systems. This position must stay current with workers compensation billing rules, OSHA regulations, workers compensation regulations, and contractual agreements with payers. This position is also responsible and accountable for communication to the leadership team regarding identified issues with charges, orders, invoicing etc.
This position is also responsible to work with, train and orient physicians/providers with accurate and appropriate coding of work compensation charges. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.Job DescriptionCommunication/Trending:Trends weekly productivity, Billing WIP, Follow-up WIP and agings.Attends weekly billing staff meetingsIdentifies payor & billing issuesParticipates in a positive & constructive mannerAddresses and follows up on any client call or concern by next business day.Billing Responsibilities:Reviews bills and related information for accuracy and reasonableness of chargesSubmits bills to payers electronically if possible, otherwise paperSubmits monthly self-pay statements to clientsStays current with third party contractual agreements and regulations to apply requirements for accurate billing and to make recommendations for system changes as neededMaintains zero billing WIPFollow-Up Responsibilities:Calls payers for status on accounts on work listRecords appropriately detailed notes in the Systoc systemTakes appropriate action to resolve claims, i.e., the rep would proceed to complete any and all steps to have the claim paid. Including and not limited to; re-file claim, send notes, make corrections to the claim information, call employer, call patient, etc.Writes appeal lettersCommunicates with supervisor at Business Health and at payersCalculates expected reimbursement on accounts if necessaryHolds payers responsible to contract terms and fee schedulesCompletes work list with the activity code, tickle date, phone numberDemonstrates ability to work with high volume of outgoing calls associated with collection of accountsDemonstrates adequate, appropriate, and professional levels of communication with insurance company representatives, team members, supervisors, and managers.Establishes relationship with payer contactsEnsures timely turnaround of internal requests (EOB's, medical records) through effective follow-upPerforms due diligence on all collection effortsEnsures expected reimbursement is securedElevates serious barriers to claim resolution to appropriate managementAssists other follow-up reps when necessary, as determined by manager, work with billing staff to identify and resolve billing issues and develop standard billing practicesMaintains zero follow-up WIPPerforms other duties as assigned.Education, Credentials, LicensesHigh school diploma or equivalentSpecialized KnowledgeMedical billing experience as acquired in a physician office setting.PC Skills, including Word and Excel.Customer Service SkillsExcellent Communication SkillsKnowledge of workers compensation and third-party billing rules and regulationsKind and Length of ExperienceOne-year experience in physician billing and collections or equivalent educationFLSA StatusNon-ExemptRight Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St.
Elizabeth. Join us, and you'll take pride in the level of care we offer our community.
Follow Up and Billing Rep in ft mitchell at Unknown Company
This position is listed as contract and onsite.